Healthcare Provider Details

I. General information

NPI: 1881753556
Provider Name (Legal Business Name): CAROL J HARM OTR, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 S PARK ST
MADISON WI
53715-1375
US

IV. Provider business mailing address

1 S PARK ST
MADISON WI
53715-1375
US

V. Phone/Fax

Practice location:
  • Phone: 608-287-2560
  • Fax:
Mailing address:
  • Phone: 608-287-2560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number311-026
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: