Individual
ANDREA LEGATT CARVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6310 STONEFIELD RD, MIDDLETON, WI 53562-3839
(608) 829-1129
Mailing address
6310 STONEFIELD RD, MIDDLETON, WI 53562-3839
(608) 829-1129
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1173-26
WI
225XG0600X
Gerontology Occupational Therapist
1173-26
WI
Other
Enumeration date
07/12/2011
Last updated
05/06/2020
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