Individual
MS. RACHEL KRISTEN ILLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4325 NAKOMA RD, MADISON, WI 53711-3706
(608) 327-7498
(608) 271-3946
Mailing address
4325 NAKOMA RD, MADISON, WI 53711-3706
(608) 327-7498
(608) 271-3946
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4930-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4930-026
OCCUPATIONAL THERAPIST
WI
Enumeration date
09/29/2010
Last updated
09/29/2010
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