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Individual

MS. AMBER LOUISE GEIGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
N4131 DUCK CREEK CT, FREEDOM, WI 54130-7278
(920) 585-3145
Mailing address
314 E 14TH STREET, KAUKAUNA, WI 54130-0000
(920) 766-6020

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4919
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20164800
WI
Enumeration date
07/27/2015
Last updated
07/27/2015
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