Individual
AMANDA MIKULSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 CARDINAL LN, SUAMICO, WI 54313-7740
(920) 662-8824
Mailing address
1935 CARDINAL LN, SUAMICO, WI 54313-7740
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
373226
WI
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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