Individual
WILLIAM R DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2915 N MEADE ST, APPLETON, WI 54911-1509
(920) 993-6800
Mailing address
1505 N BENNETT ST, APPLETON, WI 54914-2745
(920) 882-3941
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4869-27
WI
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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