Individual
ASHLEY RENEE PULVERMACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, ATC
Contact information
Practice address
2323 N CASALOMA DR, APPLETON, WI 54913-8284
(888) 383-3039
Mailing address
4314 N LIGHTNING DR APT 4, APPLETON, WI 54913-6741
(608) 577-7281
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
989
CO
225X00000X
Occupational Therapist
Primary
6902
WI
Other
Enumeration date
12/19/2011
Last updated
04/29/2022
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