Individual
AMY MICHELLE ST.JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2448 SOUTH 102ND ST, STE 340 MJ CARE INC, MILWAUKEE, WI 53227
(414) 329-2500
Mailing address
135 KARL AVE, BELLEVILLE, WI 53508-9700
(608) 445-5620
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057003295
IL
224Z00000X
Occupational Therapy Assistant
Primary
4751-27
WI
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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