NPI 1235653163

Amanda M Walesh, COTACLT

Practitioner Occupational Therapy Assistant Sheboygan, WI

Practice location

Address: 2629 N 7th St, Sheboygan, WI 53083-4932
Phone: (920) 551-5550
Mailing address: 2121 Illinois Ave, New Holstein, WI 53061-1210

Registered specialties (2)

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 5310-27 (WI)

Other Occupational Therapy Assistant providers in Wisconsin →

Occupational Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 5310 (WI)

Registry record

NPI: 1235653163
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Aug 2017
Record last updated: 2 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.