Individual
MRS. ALISON K DOUVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1010 E WAUSAU AVE, WAUSAU, WI 54403-3101
(715) 842-2028
Mailing address
1010 E WAUSAU AVE, WAUSAU, WI 54403-3101
(715) 842-2028
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4149-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40870000
—
WI
Enumeration date
07/08/2008
Last updated
07/08/2008
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