Individual
REBEKAH J UNGEMACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3506 WASHINGTON RD, KENOSHA, WI 53144-1627
(262) 653-3800
(262) 653-3850
Mailing address
11615 241ST AVE, TREVOR, WI 53179-9233
(262) 705-7354
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5870-27
WI
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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