Individual
REBECCA LYNN MATTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
429 GROVE ST, ONALASKA, WI 54650-9162
(608) 633-1883
Mailing address
429 GROVE ST, ONALASKA, WI 54650-9162
(608) 633-1883
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6445-26
WI
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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