Individual
AMANDA BONESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4120
(715) 847-2000
Mailing address
6578 IRON BRIDGE RD, ATHENS, WI 54411-8409
(715) 470-0586
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2043-027
WI
Other
Enumeration date
04/23/2008
Last updated
03/13/2014
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