Individual
ANNE DEMARK THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HIGHLAND AVE # 9430, MADISON, WI 53792-0001
(608) 263-6440
Mailing address
6525 COOPER AVE, MIDDLETON, WI 53562-3344
(608) 577-9607
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1143-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1143-26
OT PEDS
WI
Enumeration date
07/21/2006
Last updated
03/12/2021
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