Provider Demographics
NPI:1558487272
Name:HILL, ARLEEN KATHERINE (OTR)
Entity Type:Individual
Prefix:
First Name:ARLEEN
Middle Name:KATHERINE
Last Name:HILL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N4901 DAM RD STE A
Mailing Address - Street 2:
Mailing Address - City:DELAVAN
Mailing Address - State:WI
Mailing Address - Zip Code:53115-2927
Mailing Address - Country:US
Mailing Address - Phone:262-740-2170
Mailing Address - Fax:262-740-7201
Practice Address - Street 1:N4901 DAM RD STE A
Practice Address - Street 2:
Practice Address - City:DELAVAN
Practice Address - State:WI
Practice Address - Zip Code:53115-2927
Practice Address - Country:US
Practice Address - Phone:262-740-2170
Practice Address - Fax:262-740-7201
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI193-024225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI40698000Medicaid