Organization
BUILDING HOPE THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA L KLETTI (MANAGER/OCCUPATIONAL THERAPIST)
(920) 202-2262
Entity
Organization
Contact information
Practice address
1113 W KENNEDY AVE STE E, KIMBERLY, WI 54136
(920) 202-2262
Mailing address
1113 W KENNEDY AVE STE E, KIMBERLY, WI 54136-2212
(920) 202-2262
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2015018426027
WI
Other
Enumeration date
06/11/2015
Last updated
01/16/2019
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