Individual
AILEEN MARIE FERRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HIGHLAND AVE, E3/254, MADISON, WI 53792-0001
(608) 263-6443
(608) 263-1575
Mailing address
13 STAR FIRE CT, MADISON, WI 53719-2401
(608) 274-5797
(608) 263-1575
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
988
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
988
OT
WI
Enumeration date
07/20/2006
Last updated
07/08/2007
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