Individual
MISS NELLY MARIE PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
315 N FRANKLIN ST, MADISON, WI 53703-1580
(608) 728-1090
Mailing address
315 N FRANKLIN ST, MADISON, WI 53703-1580
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5862
WI
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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