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Individual

AMY MANNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1515 PARK AVE, COLUMBUS, WI 53925-2402
(920) 623-2200
Mailing address
1515 PARK AVE, COLUMBUS, WI 53925-2402
(920) 623-2200

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6070-26
WI

Other

Enumeration date
04/14/2017
Last updated
10/21/2022
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