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Individual

MRS. LUCY A. BERTELSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6906
Mailing address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6906

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1796-026
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1487831343
WI
Enumeration date
01/23/2008
Last updated
12/16/2020
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