Individual
JILL GEBHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OT CLVT
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-3855
Mailing address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-3855
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4483-26
WI
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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