Individual
NICHOLE SUSAN FEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
800 COMPASSION WAY, DODGEVILLE, WI 53533-1956
(608) 341-0316
Mailing address
800 COMPASSION WAY, DODGEVILLE, WI 53533-1956
(608) 341-0316
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1573-27
WI
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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