Individual
CARLY R. BINDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
557 N WASHINGTON ST, JANESVILLE, WI 53548-2907
(608) 754-6000
Mailing address
711 MYRTLE WAY APT 204, JANESVILLE, WI 53545-9116
(402) 320-8957
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7122-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427710961
—
WI
Enumeration date
10/12/2021
Last updated
07/05/2023
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