Individual
SYNTHEA J EBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
701 WILLOW ST, PESHTIGO, WI 54157-1165
(715) 582-0144
(715) 582-0803
Mailing address
701 WILLOW ST, PESHTIGO, WI 54157-1165
(715) 582-0144
(715) 582-0803
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5078
WI
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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