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NPI Code Detail

MEDICARE: NICOLE BEHNKE OTR/L

MEDICARE: NICOLE BEHNKE 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
1225X00000XOccupational Therapist7069-26WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851068001
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE BEHNKE OTR/L
Provider Business Mailing Address
First Line : PO BOX 735044
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5044
Country : US
Telephone Number : 800-326-2250
Fax Number :
Provider Business Practice Location Address
First Line : 1160 KEPLER DR
Second Line :
City : GREEN BAY
State : WI
Zip : 54311-8321
Country : US
Telephone Number : 920-288-4712
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2021
Last Update Date : 03/13/2026

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Directions to “ NICOLE BEHNKE OTR/L” Practice Location

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