Individual
CARLY MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 MIDWAY RD, MENASHA, WI 54952-1230
(920) 739-0111
Mailing address
4026 TOWNE LAKES CIR APT 2212, APPLETON, WI 54913-8112
(920) 979-9873
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
674126
WI
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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