Provider Demographics
NPI:1609014943
Name:BLEDSTEIN, NATALIE (OTR, CST)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:
Last Name:BLEDSTEIN
Suffix:
Gender:F
Credentials:OTR, CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543 A J ALLEN CIR
Mailing Address - Street 2:STE A1, BOX 8
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:STE A1, BOX 8
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
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-24
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2307-26225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist