Blankenheim Services, LLC

NPI #1992977862 in Appleton, Wisconsin

Provider Information

NPI Number: 1992977862
Entity Type: Organization
Organization Name: Blankenheim Services, LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 31, 2008
Last Updated: Mar 31, 2008

Practice Location

Address: 1650 TRI PARK WAY
Address 2: SUITE A
City: Appleton
State: Wisconsin
ZIP Code: 54914-1601
Phone: (920) 830-6697

Authorized Official

Name: MR. ERIC BLANKENHEIM, OTR, MSIE, CPE, CSP
Title: MANAGING MEMBER
Phone: (920) 830-6697

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Occupational Therapist	225X00000X	Primary

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