Individual
JILL M EIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
(414) 328-6640
Mailing address
3587 S 75TH ST, MILWAUKEE, WI 53220-1137
(414) 588-3587
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
663
WI
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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