Individual
BECKY JO SCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6000
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-6000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1743-026
WI
225XH1200X
Hand Occupational Therapist
1743-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40706500
—
WI
Enumeration date
12/08/2006
Last updated
12/22/2010
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