Individual
SAMANTHA EVANDER ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715
(608) 417-7551
(608) 417-5315
Mailing address
UHP - MERITER, 202 S PARK ST, MADISON, WI 53715-1507
(608) 417-7551
(608) 417-5315
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6074
WI
Other
Enumeration date
08/15/2017
Last updated
07/21/2022
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