Individual
COURTNEY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
965 CUMBERLAND TRL, LAKE GENEVA, WI 53147-7300
(262) 215-6965
Mailing address
965 CUMBERLAND TRL, LAKE GENEVA, WI 53147-7300
(262) 215-6965
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8640-26
WI
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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