IndividualActive
Brenda Dykstra, OTR
NPI 1114192903 · Occupational Therapist · Beaver Dam, WI
Provider details
- NPI number
- 1114192903
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3894-026 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
410 Roedl Ct
Beaver Dam, WI 53916-2934
Phone: (920) 887-7191
Fax: (920) 887-7270
Approximate (ZIP-level) locationGet directions
Mailing address
410 Roedl Ct
Beaver Dam, WI 53916-2934
Registry dates
- Enumerated
- 2008-04-23
- Last updated
- 2008-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.