Individual
AMY MARIE PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3300 WEST BREWSTER STREET, APPLETON, WI 54914-1699
(920) 832-1657
(920) 968-4153
Mailing address
3300 WEST BREWSTER STREET, APPLETON, WI 54914-1699
(920) 832-1657
(920) 968-4153
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4857-027
WI
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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