Individual
MRS. REBECCA MARIE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
620 HILLSIDE AVE, BELOIT, WI 53511-1770
(608) 364-6360
Mailing address
4233 PARK VIEW DR, JANESVILLE, WI 53546-2158
(608) 741-0627
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3665-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40482500
—
WI
Enumeration date
08/19/2008
Last updated
08/19/2008
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