Individual
ANGELA EGGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
216 SUNSET PL, NEILLSVILLE, WI 54456-1706
(763) 689-5385
Mailing address
N7465 E SNOW CREEK RD, BLACK RIVER FALLS, WI 54615-5845
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4086
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
360T3EG
BLUE CROSS BLUE SHIELD
MN
05
—
41810700
—
WI
05
—
616055700
—
MN
Enumeration date
09/26/2006
Last updated
07/09/2007
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