Individual
AMY BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1414 N. PROSPECT AVE THERAPY DEPARTMENT, JEWISH HOME & CARE CENTER, MILWAUKEE, WI 53202-3018
(414) 277-8846
(414) 277-8803
Mailing address
1414 N. PROSPECT AVE THERAPY DEPARTMENT, JEWISH HOME & CARE CENTER, MILWAUKEE, WI 53202-3018
(414) 277-8846
(414) 277-8803
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6168-26
WI
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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