Individual
CAROLINE KAY WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
2705 ENLOE ST, HUDSON, WI 54016-8173
(715) 386-2128
Mailing address
1425 RIVER RIDGE RD, RIVER FALLS, WI 54022-3459
(715) 426-5212
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4305
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167861
AETNA
—
05
—
41042100
—
WI
01
—
473L7WI
BCBS MN
MN
01
—
640671046996
PREFERRED ONE
—
01
—
6406907
MEDICA
—
Enumeration date
12/07/2006
Last updated
07/09/2007
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