Individual
AMANDA SUE MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 738-2872
Mailing address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 738-2872
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5713-27
WI
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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