Individual
MARGARET JEAN VANEECKHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2705 ENLOE ST, HUDSON, WI 54016-8173
(715) 386-2128
Mailing address
331 OTIS AVE, SAINT PAUL, MN 55104-5039
(651) 642-1724
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2365
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006L7VA
BCBS MN
MN
01
—
167861
AETNA
—
05
—
41039200
—
WI
01
—
6406763
MEDICA
—
01
—
641671046996
PREFERRED ONE
—
01
—
HP70054
HEALTH PARTNERS
—
Enumeration date
12/06/2006
Last updated
07/09/2007
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