MEDICARE: MONICA SEIBERLING OTR/CHT

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
1	225X00000X	Occupational Therapist	3017-026	WI

General Provider Information

NPI Number	:	1982660833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA SEIBERLING OTR/CHT

Provider Business Mailing Address
First Line	:	8020 223RD ST
Second Line	:
City	:	CADOTT
State	:	WI
Zip	:	54727-4713
Country	:	US
Telephone Number	:	715-723-4451
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 W GRAND AVE
Second Line	:
City	:	CHIPPEWA FALLS
State	:	WI
Zip	:	54729-2415
Country	:	US
Telephone Number	:	715-723-4451
Fax Number	:	715-723-4451

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	07/08/2007

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