Individual
MRS. AMY L VANRUDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5700 W LAYTON AVE, GREENFIELD, WI 53220-4016
(414) 325-4040
(414) 282-7512
Mailing address
6634 WIND CREST DR, WIND LAKE, WI 53185-2783
(262) 895-7042
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
561-026
WI
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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