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Individual

MRS. DOROTHY SABINE PURTELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
808 WILLIAMSON ST UNIT 406, MADISON, WI 53703-4085
(608) 347-0574
Mailing address
808 WILLIAMSON ST UNIT 406, MADISON, WI 53703-4085
(608) 347-0574

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3874-026
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40459800
WI
Enumeration date
05/06/2007
Last updated
08/06/2007
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