Individual
AMELIA PEARL KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
623 S 2ND ST, LUCK, WI 54853-9070
(715) 472-2164
Mailing address
3360 GATEWAY RD STE 100, BROOKFIELD, WI 53045-5115
(262) 923-7101
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
202937
MN
224Z00000X
Occupational Therapy Assistant
Primary
7268-27
WI
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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