Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMY WALLENBURG, P.T., M.P.T.
ActiveAMY WALLENBURG, P.T., M.P.T. is a Pediatric Occupational Therapy healthcare provider located in ZEELAND, Michigan. NPI 1063728509 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapy · ZEELAND, MI
Registration Details
- NPI Number
- 1063728509
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2010 (15.981050197281 yrs)
- Last Updated
- Sep 5, 2010
- Licenses
-
5501012840 (MI)5501012840 (MI)
Practice Information
- Address
-
26 N STATE STSUITE 400ZEELAND, MI, 494641281Browse MI providers · Browse ZIP 49464
- Phone
- 6167725643
- Fax
- 6167725819
- Primary Specialty
-
Pediatric Occupational Therapy
2251P0200X
- Additional Specialty
- Physical Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.