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Individual

AUTUMN BRIDGET ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
500 S OAKWOOD RD, OSHKOSH, WI 54904-7944
(920) 223-2000
Mailing address
631 E CALUMET ST, APPLETON, WI 54915-1921
(920) 707-2269

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5618-27
WI

Other

Enumeration date
02/26/2020
Last updated
02/26/2020
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