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Individual

AMANDA ELEANOR LINDENBERG-ACEVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT, DO

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
81538
WI
208100000X
Physical Medicine & Rehabilitation Physician
81538
WI
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
91538
WI
225X00000X
Occupational Therapist
056.009622
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/19/2012
Last updated
01/20/2026
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