Individual
JILLIAN TAXMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
1732 N PROSPECT AVE, APARTMENT #811, MILWAUKEE, WI 53202-1973
(608) 658-8678
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
221267
WI
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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