Healthcare Provider Details

I. General information

NPI: 1437074606
Provider Name (Legal Business Name): CARLA FRANTL OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

W299N5614 COUNTY HIGHWAY E
HARTLAND WI
53029-9502
US

IV. Provider business mailing address

6530 STATE ROAD 167
HARTFORD WI
53027-8523
US

V. Phone/Fax

Practice location:
  • Phone: 262-367-2000
  • Fax:
Mailing address:
  • Phone: 262-367-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number3398-26
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: