Healthcare Provider Details

I. General information

NPI: 1134366123
Provider Name (Legal Business Name): JILL KATHLEEN MARCHAN OTR, CHT, CLT, CMTPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2009
Last Update Date: 02/12/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N 92ND ST CURATIVE THERAPY SERVICES
MILWAUKEE WI
53226
US

IV. Provider business mailing address

1000 N 92ND ST CURATIVE THERAPY SERVICES
MILWAUKEE WI
53226
US

V. Phone/Fax

Practice location:
  • Phone: 414-479-9270
  • Fax: 414-253-4055
Mailing address:
  • Phone: 414-479-9270
  • Fax: 414-253-4055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number2909-026
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number2902-26
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number2902-26
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: