Provider Demographics
NPI:1972946192
Name:POPPENS, BLAIR ANN (OT)
Entity Type:Individual
Prefix:
First Name:BLAIR
Middle Name:ANN
Last Name:POPPENS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:BLAIR
Other - Middle Name:ANN
Other - Last Name:VANOVERBEKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:PO BOX 5045
Mailing Address - Street 2:ATTN: PFS
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5045
Mailing Address - Country:US
Mailing Address - Phone:605-322-6428
Mailing Address - Fax:
Practice Address - Street 1:3400 S SOUTHEASTERN AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57103-7184
Practice Address - Country:US
Practice Address - Phone:605-322-5350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-08
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist