Provider Demographics
NPI:1326432303
Name:JOURNEYS OCCUPATIONAL THERAPY LLC
Entity Type:Organization
Organization Name:JOURNEYS OCCUPATIONAL THERAPY LLC
Other - Org Name:JOURNEYS OT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:C
Authorized Official - Last Name:BLEDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR, CST
Authorized Official - Phone:262-968-2001
Mailing Address - Street 1:543 A J ALLEN CIR
Mailing Address - Street 2:SUITE A1
Mailing Address - City:WALES
Mailing Address - State:WI
Mailing Address - Zip Code:53183-9542
Mailing Address - Country:US
Mailing Address - Phone:262-968-2001
Mailing Address - Fax:262-347-3371
Practice Address - Street 1:543 A J ALLEN CIR
Practice Address - Street 2:SUITE A1
Practice Address - City:WALES
Practice Address - State:WI
Practice Address - Zip Code:53183-9542
Practice Address - Country:US
Practice Address - Phone:262-968-2001
Practice Address - Fax:262-347-3371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-26
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2307-26261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service