Individual
EMILY WHITLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2755 N MURRAY AVE, MILWAUKEE, WI 53211-3646
(262) 748-6502
Mailing address
2755 N MURRAY AVE, MILWAUKEE, WI 53211-3646
(262) 748-6502
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5475-26
WI
Other
Enumeration date
06/28/2014
Last updated
06/28/2014
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