Individual
MARITA LYNN VERHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8935
Mailing address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8935
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.011305
IL
225X00000X
Occupational Therapist
117218
TX
225X00000X
Occupational Therapist
Primary
5765-26
WI
Other
Enumeration date
02/21/2016
Last updated
03/23/2021
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