Individual
AMANDA MARIE MICHUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
833 N 26TH ST, MILWAUKEE, WI 53233-1507
(414) 344-7676
Mailing address
125 E WELLS ST APT 603, MILWAUKEE, WI 53202-3578
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8599
WI
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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