DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DEANNE BLANCO OTR/L

MEDICARE: DEANNE BLANCO OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XH1200XHand Occupational Therapist056-001827IL
2225X00000XOccupational Therapist

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1753210OTHERILMEDICARE GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2056001827OTHERILSTATE LICENSE

General Provider Information

NPI Number : 1689620783
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNE BLANCO OTR/L
Provider Business Mailing Address
First Line : BOX 78534
Second Line :
City : MILWAUKEE
State : WI
Zip : 53278-8534
Country : US
Telephone Number : 815-398-9491
Fax Number : 815-381-7498
Provider Business Practice Location Address
First Line : 324 ROXBURY RD
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-5090
Country : US
Telephone Number : 815-398-9491
Fax Number : 815-381-7498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2006
Last Update Date : 06/14/2019

Similar Medicare Providers

1326580549 — LUKAS DAVID CASH DPT
Practice Location Address:
324 ROXBURY RD
ROCKFORD, IL
61107-5090
Practice Phone: 815-398-9491
Practice Fax: 815-381-7498
1124028287 — RYAN R WESTERBERG PT
Practice Location Address:
324 ROXBURY RD
ROCKFORD, IL
61107-5090
Practice Phone: 815-398-9491
Practice Fax: 815-381-7498
1255327326 — MARC A ZUSSMAN MD
Practice Location Address:
324 ROXBURY RD
ROCKFORD, IL
61107-5090
Practice Phone: 815-398-9491
Practice Fax: 815-381-7498
1194712489 — BERNARD A YAUN PT
Practice Location Address:
324 ROXBURY RD
ROCKFORD, IL
61107-5090
Practice Phone: 815-398-9491
Practice Fax: 815-381-7498
1063472751 — JIMMY L WALKER JR. PA-C
Practice Location Address:
324 ROXBURY RD
ROCKFORD, IL
61107-5090
Practice Phone: 815-381-7431
Practice Fax: 815-381-7498
1730136474 — ORTHOMIDWEST, PLLC
Practice Location Address:
324 ROXBURY RD
ROCKFORD, IL
61107-5090
Practice Phone: 815-398-9491
Practice Fax: 815-381-7498

Directions to “ DEANNE BLANCO OTR/L” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.