Individual
VICKI BACHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4325 NAKOMA RD, MADISON, WI 53711-3706
(608) 327-7498
Mailing address
4325 NAKOMA RD, MADISON, WI 53711-3706
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1450-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35/074
—
WI
Enumeration date
11/19/2007
Last updated
11/19/2007
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