Individual
REBECCA J SPAETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
130 W CARROLL ST, PORTAGE, WI 53901-1716
(815) 651-0230
Mailing address
130 W CARROLL STREET, PORTAGE, WI 53901
(815) 651-0230
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4609027
WI
Other
Enumeration date
12/22/2008
Last updated
12/22/2008
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