Individual
MS. REBECCA SUSAN O'KEEFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1800 APPLETON RD, MENASHA, WI 54952-3727
(920) 968-6236
Mailing address
3378 COUNTY ROAD F, OMRO, WI 54963-9408
(920) 685-0942
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3606026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3606026
THERAPY LICENSE
WI
05
—
40775200
—
WI
Enumeration date
02/16/2007
Last updated
07/08/2007
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