Individual
CAROL A BEISTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/CHT
Contact information
Practice address
5286 INDIAN DR, HARTFORD, WI 53027-9588
(262) 644-6002
Mailing address
5286 INDIAN DR, HARTFORD, WI 53027-9588
(262) 644-6002
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
1692026
WI
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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