Individual
AMANDA RATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
1100 COMMERCE DR, MOUNT PLEASANT, WI 53406-3700
(262) 886-3431
Mailing address
1100 COMMERCE DR, MOUNT PLEASANT, WI 53406-3700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
39-1524463
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41205000
—
WI
Enumeration date
05/24/2017
Last updated
01/02/2018
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