Individual
MRS. BECKI RACHELLE WISSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
625 E MONROE ST, CUBA, IL 61427-5109
(309) 785-5079
(309) 785-5079
Mailing address
625 E MONROE ST, CUBA, IL 61427-5109
(309) 785-5079
(309) 785-5079
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009115
IL
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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