Individual
AMY K. VALLEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
1155 N MAYFAIR RD, THE HAND CENTER, MILWAUKEE, WI 53226-3462
(414) 955-4263
(414) 955-6286
Mailing address
1155 N MAYFAIR RD, THE HAND CENTER, MILWAUKEE, WI 53226-3462
(414) 955-4263
(414) 955-6286
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4007-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710929096
—
WI
05
—
40878600
—
WI
01
—
P00627733
RR MEDICARE
WI
Enumeration date
06/12/2006
Last updated
11/04/2011
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