Provider Demographics
NPI:1982660833
Name:SEIBERLING, MONICA (OTR/CHT)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:SEIBERLING
Suffix:
Gender:F
Credentials:OTR/CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8020 223RD ST
Mailing Address - Street 2:
Mailing Address - City:CADOTT
Mailing Address - State:WI
Mailing Address - Zip Code:54727-4713
Mailing Address - Country:US
Mailing Address - Phone:715-723-4451
Mailing Address - Fax:
Practice Address - Street 1:26 W GRAND AVE
Practice Address - Street 2:
Practice Address - City:CHIPPEWA FALLS
Practice Address - State:WI
Practice Address - Zip Code:54729-2415
Practice Address - Country:US
Practice Address - Phone:715-723-4451
Practice Address - Fax:715-723-4451
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3017-026225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist