Emily Alta Auck, COTA

Individual provider Active NPI Occupational Therapy Assistant · Madison, WI

NPI 1982045233 · NPPES record last updated Oct 26, 2016

Key facts

NPI
1982045233
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
4987-27 (WI)
Practice address
9 Kings Mill Cir Unit 307
Madison, WI 53718-5112
Phone
(608) 574-4230
NPI assigned
Jul 16, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4987-27WIMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 4987-27 WI Yes

Addresses

Primary practice location

9 Kings Mill Cir Unit 307
Madison, WI 53718-5112

Mailing address

9 Kings Mill Cir Unit 307
Madison, WI 53718-5112
Phone (608) 574-4230

Other providers in Madison, WI

All providers in Madison, WI · Occupational Therapy Assistant in Wisconsin

Sources for this page

Verify at the official NPI Registry.