NPI 1063003184

Erica Samuelson, COTAL

Practitioner Occupational Therapy Assistant Madison, WI

Practice location

Address: 7425 Old Sauk Rd Unit 204, Madison, WI 53717-1252
Phone: (218) 277-9524

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 202575 (MN)

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Registry record

NPI: 1063003184
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Feb 2021
Record last updated: 1 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.