Individual
AMANDA KAY MAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3100 WAHINGTON ROAD, KENOSHA, WI 53144
(262) 658-4074
Mailing address
3100 W. WAHINGTON RD, KENOSHA, WI 53144
(262) 658-4074
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1949-027
WI
224Z00000X
Occupational Therapy Assistant
5199-26
WI
225X00000X
Occupational Therapist
Primary
5199-26
WI
Other
Enumeration date
04/24/2008
Last updated
03/14/2013
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