Individual
TRACY L SPILKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5219 88TH AVE, KENOSHA, WI 53144-7468
(262) 653-0850
Mailing address
148 MILL AVE, UNION GROVE, WI 53182-1901
(262) 412-9450
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3197-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40809000
—
WV
Enumeration date
01/05/2007
Last updated
07/09/2007
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