Individual
MRS. AMANDA J BRADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
N2195 BEECH BLVD, LAKE GENEVA, WI 53147-4424
(262) 206-1567
(262) 248-9479
Mailing address
N2195 BEECH BLVD, LAKE GENEVA, WI 53147-4424
(262) 206-1567
(262) 248-9479
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0056-007841
IL
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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