Individual
MRS. REBECCA GABRIELLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
17700 W CAPITOL DR, BROOKFIELD, WI 53045-2006
(262) 781-3083
Mailing address
738 SUMMIT AVE, OCONOMOWOC, WI 53066-3827
(414) 630-1222
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1922-27
WI
Other
Enumeration date
03/13/2014
Last updated
03/17/2014
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