Provider Demographics
NPI:1134396237
Name:BECHLER, BONNIE JEAN I (COTA)
Entity type:Individual
Prefix:MISS
First Name:BONNIE
Middle Name:JEAN
Last Name:BECHLER
Suffix:I
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:419 N PELHAM ST
Mailing Address - Street 2:
Mailing Address - City:RHINELANDER
Mailing Address - State:WI
Mailing Address - Zip Code:54501-3125
Mailing Address - Country:US
Mailing Address - Phone:715-365-6865
Mailing Address - Fax:715-365-6713
Practice Address - Street 1:903 BOYCE DR
Practice Address - Street 2:
Practice Address - City:RHINELANDER
Practice Address - State:WI
Practice Address - Zip Code:54501-3836
Practice Address - Country:US
Practice Address - Phone:715-365-6865
Practice Address - Fax:715-365-6713
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1420-027224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI40879100Medicaid