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Contact Information

AUTUMN B ANDERSON, COTA
500 S OAKWOOD RD
OSHKOSH, WI54904-7944
 Phone: 920-223-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for AUTUMN B ANDERSON · (Female)

NPI Number 1255965430
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 02/26/2020
Last updated 02/26/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 5618-27
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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