Individual
CHARLA K WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
4502 MILWAUKEE ST, MADISON, WI 53714-2133
(608) 249-2137
(608) 249-8122
Mailing address
4502 MILWAUKEE ST, MADISON, WI 53714-2133
(608) 249-2137
(608) 249-8122
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4657026
WI
225X00000X
Occupational Therapist
OT01147
RI
Other
Enumeration date
01/11/2008
Last updated
12/10/2008
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