Individual
AMANDA SUE HANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1335 S ONEIDA ST, APPLETON, WI 54915-1351
(920) 731-6646
Mailing address
2632 S EAST ST, APPLETON, WI 54915-2523
(920) 841-1547
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5770-27
WI
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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