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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA WALLER

Active

AMANDA WALLER is a Occupational Therapist healthcare provider located in RICE LAKE, Wisconsin. NPI 1134504657 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · RICE LAKE, WI

Registration Details

NPI Number
1134504657
Provider Type
Individual
Gender
Female
NPI Issued
Jul 26, 2015 (11.009202704357 yrs)
Last Updated
Jul 26, 2015
License
2319-19 (WI)

Practice Information

Address
19 W NEWTON ST
RICE LAKE, WI, 548681744
Browse WI providers · Browse ZIP 54868
Phone
7152342161
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in RICE LAKE, WI

Name Credential NPI
DEE MAKI PTA 1215109277
KAREN MICHELLE THOMAS P.T.A. 1154593119
KRISTEN LEIGH MOEN PTA 1912179771
MARGARET SWARTZ PTA 1598902561
ROSE MARIE HUEHN PTA 1942578513
DANIEL M. RUFF PTA 1851655682
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.