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Amy L Brossard, OT

Occupational Therapist in Madison, WI. Individual provider (NPI-1).

NPI number1174842579
StatusActive
Last updated in NPPESMar 16, 2021

Details

NPI
1174842579
Entity type
Individual (NPI-1)
Name
Amy L Brossard
Credential
OT
Sex
Female
Sole proprietor
No
Enumeration date
May 25, 2010
Certification date
Mar 16, 2021
Last updated
Mar 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist4883-026WIYes

Practice location

600 Highland Ave
Madison, WI 53792-2236

Phone 608-263-8060 · Fax 608-824-4930

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Phone 608-829-5485

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