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Individual

AMANDA CLOUGH-KNAPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
12500 AURORA DR, PLEASANT PRAIRIE, WI 53158-1227
(262) 857-5800
Mailing address
12500 AURORA DR, PLEASANT PRAIRIE, WI 53158-1227
(262) 857-5800

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5549
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100049307
WI
Enumeration date
10/30/2014
Last updated
12/28/2021
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