Individual
MARILEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 258-6645
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 258-6645
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
48126
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48126
—
WI
Enumeration date
05/22/2014
Last updated
05/22/2014
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