Organization
TLC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY A TRIM OTR (OWNER)
(608) 484-0264
Entity
Organization
Contact information
Practice address
W20629 MCKEETH DR, GALESVILLE, WI 54630-8703
(608) 484-0264
Mailing address
W20629 MCKEETH DR, GALESVILLE, WI 54630-8703
(608) 484-0264
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40827100
—
WI
Enumeration date
02/20/2023
Last updated
02/20/2023
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