Individual
AMANDA JEAN WILKENING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103485
MN
225X00000X
Occupational Therapist
1451
NE
225X00000X
Occupational Therapist
OTR2417
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187 988 721
—
AR
Enumeration date
03/17/2008
Last updated
05/08/2025
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