Individual
AMANDA ROSE NACHTWEY FRITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
19395 W CAPITOL DR STE 200, BROOKFIELD, WI 53045-2736
(262) 293-7178
Mailing address
19395 W CAPITOL DR STE 200, BROOKFIELD, WI 53045-2736
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
564627
WI
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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