Organization
WAUWATOSA THERAPIES LLC
Active
Organization
WAUWATOSA THERAPIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LYNN KEBBEKUS MS, OTR (OWNER)
(414) 763-6996
Entity
Organization
Contact information
Practice address
515 NORTH GLENVIEW AVENUE, WAUWATOSA, WI 53213-3234
(414) 763-6996
(414) 221-0057
Mailing address
2473 NORTH 60TH STREET, WAUWATOSA, WI 53210-2222
(414) 763-6996
(414) 221-0057
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4408-26
WI
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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