Organization
RAINBOW TREE THERAPIES, LLC
Active
Other names
Rainbow Tree Therapies, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA R HAVERLY MA OTR/L (CEO)
(715) 205-2703
Entity
Organization
Contact information
Practice address
477 PERCH LAKE RD, HUDSON, WI 54016-6847
(715) 205-2703
Mailing address
477 PERCH LAKE RD, HUDSON, WI 54016-6847
(715) 205-2703
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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