Basic Information
| Provider Information | |||||||||
| NPI: | 1811222698 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALBER | ||||||||
| FirstName: | CAREY | ||||||||
| MiddleName: | LYNN | ||||||||
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| Credential: | MOTR | ||||||||
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| Mailing Information | |||||||||
| Address1: | N67W31010 GOLF RD | ||||||||
| Address2: | |||||||||
| City: | HARTLAND | ||||||||
| State: | WI | ||||||||
| PostalCode: | 530299377 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2628448988 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2195 N SUMMIT VILLAGE WAY | ||||||||
| Address2: | |||||||||
| City: | OCONOMOWOC | ||||||||
| State: | WI | ||||||||
| PostalCode: | 530668675 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2625674662 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/12/2009 | ||||||||
| LastUpdateDate: | 10/12/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 4754-026 | WI | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | 225XG0600X | 4754-026 | WI | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Gerontology | 225XN1300X | 4754-026 | WI | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Neurorehabilitation |
No ID Information.