Individual
MICHAEL WOODLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
478 W ARNDT ST, FOND DU LAC, WI 54935-2109
(920) 933-6304
Mailing address
478 W ARNDT ST, FOND DU LAC, WI 54935-2109
(920) 933-6304
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8888-26
WI
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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