Individual
REBECCA MAE GANSHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5700 S 108TH ST, HALES CORNERS, WI 53130-1911
(414) 567-3022
Mailing address
5700 S 108TH ST, HALES CORNERS, WI 53130-1911
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6106
WI
Other
Enumeration date
09/19/2013
Last updated
09/20/2022
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