Individual
ROSE TILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
604 N 16TH ST RM 104, MILWAUKEE, WI 53233-2117
(414) 288-6122
(414) 288-6079
Mailing address
4420 N CRAMER ST, MILWAUKEE, WI 53211-1602
(414) 949-6480
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119006581
VA
225X00000X
Occupational Therapist
Primary
6560-26
WI
Other
Enumeration date
07/30/2015
Last updated
10/29/2019
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