Individual
REBECCA CASANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
W231N1440 CORPORATE CT, WAUKESHA, WI 53186-1303
(252) 896-6000
Mailing address
W231N1440 CORPORATE CT, WAUKESHA, WI 53186-1303
(252) 896-6000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8000
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100216868
—
WI
Enumeration date
03/27/2019
Last updated
11/25/2024
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