| Kristine Grunewald Siegenthaler, OTRL/CHT/CLT | |
|
114 W 7th St, Okmulgee, OK 74447 | |
| (918) 756-3330 | |
| (918) 756-3332 |
| Full Name | Kristine Grunewald Siegenthaler |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 36 Years |
| Location | 114 W 7th St, Okmulgee, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992771703 | NPI | - | NPPES |
| 100645450B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XH1200X | Occupational Therapist - Hand | OT 735 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Impact Rehab Consultants | 3375893936 | 3 |
| Provider Name | Impact Rehab Consultants |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972097657 PECOS PAC ID: 3375893936 Enrollment ID: O20180821001663 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristine Grunewald Siegenthaler, OTRL/CHT/CLT 114 W 7th St, Okmulgee, OK 74447-5052 Ph: (918) 756-3330 | Kristine Grunewald Siegenthaler, OTRL/CHT/CLT 114 W 7th St, Okmulgee, OK 74447 Ph: (918) 756-3330 |
Brandi Hignite, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 123 E 6th St, Okmulgee, OK 74447 Phone: 918-938-0887 | |
Paul Hailes, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 E Airport Road, Okmulgee, OK 74447 Phone: 918-756-9211 Fax: 918-756-9452 | |
Tyler Ray Wilson, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 900 E Airport Rd, Okmulgee, OK 74447 Phone: 918-260-4613 | |
Impact Rehab Consultants Occupational Therapist Medicare: Medicare Enrolled Practice Location: 813 E 6th St Ste 300, Okmulgee, OK 74447 Phone: 918-756-3330 Fax: 918-756-3332 |