Individual
AMY MCCAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6004
Mailing address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1240-027
WI
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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