Individual
HANNAH DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
430 WILCOX ST, FORT ATKINSON, WI 53538-1968
(920) 563-5533
Mailing address
4702 AMERICAN ASH DR, MADISON, WI 53704-1110
(608) 520-2654
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7008-27
WI
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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