Organization
INNOVATIVE REHAB CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA MARIE VAN LIESHOUT MOTR, ATP (OWNER/PRESIDENT)
(920) 674-6339
Entity
Organization
Contact information
Practice address
229 MEADOW CT, JEFFERSON, WI 53549-1184
(920) 674-6339
(920) 674-6345
Mailing address
229 MEADOW CT, JEFFERSON, WI 53549-1184
(920) 674-6345
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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