Basic Information
Provider Information
NPI: 1093007973
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BISCHEL
FirstName: SARAH
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: OT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: JONES
OtherFirstName: SARAH
OtherMiddleName: M
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: PO BOX 1510
Address2:  
City: EAU CLAIRE
State: WI
PostalCode: 547021510
CountryCode: US
TelephoneNumber: 6087850940
FaxNumber:  
Practice Location
Address1: 331 S MAIN ST
Address2:  
City: RICE LAKE
State: WI
PostalCode: 548682253
CountryCode: US
TelephoneNumber: 7152368500
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/10/2011
LastUpdateDate: 09/11/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/11/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X5024WIY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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