Individual
MS. AMANDA KAY BRUINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
N10090 ABBEY RD, CRIVITZ, WI 54114-8187
(920) 319-2975
Mailing address
N10090 ABBEY RD, CRIVITZ, WI 54114-8187
(920) 319-2975
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
WI
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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