Innovative Rehab Consultants, Inc.

NPI #1033444377 in Jefferson, Wisconsin

Provider Information

NPI Number: 1033444377
Entity Type: Organization
Organization Name: Innovative Rehab Consultants, Inc.
Primary Specialty: Occupational Therapist
Enumeration Date: Oct 5, 2009
Last Updated: Oct 5, 2009

Practice Location

Address: 229 MEADOW CT
City: Jefferson
State: Wisconsin
ZIP Code: 53549-1184
Phone: (920) 674-6339

Authorized Official

Name: MRS. BARBARA MARIE VAN LIESHOUT, MOTR, ATP
Title: OWNER/PRESIDENT
Phone: (920) 674-6339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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