Individual
AMY JEAN FLAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-5390
Mailing address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-5390
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4835-26
WI
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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