Individual
AMY COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1850 11TH ST, FENNIMORE, WI 53809
(414) 327-6603
(414) 327-5411
Mailing address
1850 11TH ST, FENNIMORE, WI 53809
(414) 327-6603
(414) 327-5411
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5081-27
WI
Other
Enumeration date
10/01/2015
Last updated
08/21/2025
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