Individual
MS. REBECCA ANN KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA, CKTP, CLT
Contact information
Practice address
1616 W BENDER RD, GLENDALE, WI 53209-3802
(414) 228-8700
Mailing address
1616 W BENDER RD, GLENDALE, WI 53209-3802
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5132-27
WI
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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