Individual
VERNETTE SICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2378 SUNNY MEADOW LN, RED WING, MN 55066-4113
(763) 689-5385
Mailing address
2378 SUNNY MEADOW LN, RED WING, MN 55066-4113
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100951
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5G735SI
BCBS
MN
01
—
6411128
MEDICA
MN
Enumeration date
10/19/2006
Last updated
07/09/2007
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