Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 3619-26 | WI |
NPI | 1023324993 |
---|---|
Provider Name | Mrs. Alison Sadler |
First Address | Madison, WI 53718-4312 |
Second Address | Madison, WI 53718-4312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2010 |
Last Update Date | 29/08/2010 |