Individual
MRS. CATHLEEN ANN COUGHLIN-BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
DREXEL TOWN SQUARE, 7901 S. 6TH ST, OAK CREEK, WI 53154-2010
(414) 346-8000
Mailing address
DREXEL TOWN SQUARE HEALTH CENTER, 7901 S. 6TH ST, OAK CREEK, WI 53154-2010
(414) 346-8000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1464
WI
225X00000X
Occupational Therapist
Primary
1464026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952340952
—
WI
05
—
40870400
—
WI
Enumeration date
06/05/2006
Last updated
04/20/2023
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