Individual
AMY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
W231S7680 BIG BEND DR, BIG BEND, WI 53103-9686
(262) 662-9760
(262) 662-9761
Mailing address
W245S7390 HEATHER RIDGE DR, WAUKESHA, WI 53189-9361
(414) 731-0568
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4521026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41045600
—
WI
Enumeration date
05/09/2007
Last updated
02/16/2011
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