Individual
JOAN C SORTEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
110 BELMONT RD, MADISON, WI 53714-3129
(608) 249-7391
Mailing address
1514 BOULDER WAY, SUN PRAIRIE, WI 53590-1252
(608) 825-7019
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4096-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013056886
—
WI
Enumeration date
02/06/2007
Last updated
10/02/2012
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