Individual
MEGAN MARIE ILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6000
Mailing address
1302 16TH ST, BRODHEAD, WI 53520-1848
(608) 558-4952
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5631
WI
Other
Enumeration date
04/10/2025
Last updated
04/29/2025
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