Individual
AMY O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10023-024
WI
2251X0800X
Orthopedic Physical Therapist
10023-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100063588
—
WI
Enumeration date
09/25/2014
Last updated
06/23/2025
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