Healthcare Provider Details

I. General information

NPI: 1811783491
Provider Name (Legal Business Name): CARLEY WILHARM OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2025
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 N OAK AVE
MARSHFIELD WI
54449-5703
US

IV. Provider business mailing address

628 KESSLER DR
NEENAH WI
54956-4114
US

V. Phone/Fax

Practice location:
  • Phone: 800-782-8581
  • Fax:
Mailing address:
  • Phone: 920-716-4831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number8882-26
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number030111
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT-2025-0074
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: