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Individual

TYLER CECIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
7711 FREELAND CT, GREENDALE, WI 53129-1658
(414) 210-0088
Mailing address
7711 FREELAND CT, GREENDALE, WI 53129-1658
(414) 210-0088

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
225X00000X
Occupational Therapist
Primary
7070-27
WI

Other

Enumeration date
07/12/2023
Last updated
04/07/2026
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