Individual
BECKY M WHITING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3401 MAPLE GROVE DR, ST MARYS CARE CENTER, MADISON, WI 53719-5013
(608) 845-1000
(608) 845-1001
Mailing address
3401 MAPLE GROVE DR, MADISON, WI 53719-5013
(608) 845-1000
(608) 845-1001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1114026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40708300
—
WI
Enumeration date
05/13/2008
Last updated
05/13/2008
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