Individual
MRS. AMANDA WILMOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
725 W PARK AVE, CHIPPEWA FALLS, WI 54729-3399
(715) 720-2053
Mailing address
W9843 OLD 14 RD, LADYSMITH, WI 54848-9516
(715) 415-2747
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1732-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1044814
NATIONAL BOARD FOR CERT.
WI
01
—
1732-027
STATE OF WI CREDENTIALS
WI
05
—
40875100
—
WI
Enumeration date
07/31/2006
Last updated
01/07/2026
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