Individual
REBECCA MARCHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8112 W BLUEMOUND RD, WAUWATOSA, WI 53213-3356
(414) 727-5552
(414) 727-5553
Mailing address
1350 BLUE RIDGE BLVD, ELM GROVE, WI 53122-1908
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3075-26
WI
225XP0200X
Pediatric Occupational Therapist
3075-26
WI
Other
Enumeration date
07/14/2018
Last updated
07/14/2018
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