Individual
AMY DEMAIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1695 CROOKS ST, GREEN BAY, WI 54302-2853
(920) 639-3029
Mailing address
1695 CROOKS ST, GREEN BAY, WI 54302-2853
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5365-27
WI
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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