Individual
MONICA A ODEGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 267-5421
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 267-5421
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0580-026
WI
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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