Individual
HAILEY MARIE WALCH OTTOSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1717 N STOUGHTON RD, MADISON, WI 53704-2605
(608) 838-8999
Mailing address
1717 N STOUGHTON RD, MADISON, WI 53704-2605
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.014183
IL
225X00000X
Occupational Therapist
Primary
701726
WI
Other
Enumeration date
05/24/2021
Last updated
04/15/2024
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