Individual
AMBER S KEEL ENDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3305 N BALLARD RD STE C, APPLETON, WI 54911-9001
(920) 735-9234
Mailing address
155 MARINA PL APT 312, MENASHA, WI 54952-4111
(920) 475-2920
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1928
WI
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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