Individual
MRS. AMANDA KATHRYN KAUFENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR
Contact information
Practice address
5000 MEMORIAL DR, TWO RIVERS, WI 54241-3900
(920) 794-5000
Mailing address
235 MARIES WAY, RANDOM LAKE, WI 53075-1685
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4859-026
WI
Other
Enumeration date
05/07/2012
Last updated
05/12/2014
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