Individual
MS. JACQUELINE RICE WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-6161
Mailing address
1050 DIVISION ST, MAUSTON, WI 53948-1931
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5582-26
WI
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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