Individual
ELIZABETH R VERMEDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
14 ELLIS POTTER CT STE 200, MADISON, WI 53711-2478
(608) 204-6242
(608) 204-6249
Mailing address
604 COPELAND ST, MADISON, WI 53711-1710
(608) 249-0443
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1061924
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
086G3VE
BCBS
MN
01
—
64-05160
MEDICA
MN
01
—
HP-47136
HEALTHPARTNERS
MN
Enumeration date
10/26/2006
Last updated
07/08/2007
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