Individual
CARLY ROETHLISBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-5751
(608) 417-5315
Mailing address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-5751
(608) 417-5315
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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