Individual
NANCY ANN BELLENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
103 S GIBSON ST, MEDFORD, WI 54451
(715) 748-8112
(715) 748-8792
Mailing address
135 S GIBSON ST, MEDFORD, WI 54451-1622
(715) 748-8100
(715) 748-8199
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
592-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40624400
—
WI
Enumeration date
10/02/2006
Last updated
07/10/2007
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