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

TINA M AMUNDSON, COTA

Active Sole Proprietor

Occupational Therapy Assistant · OMRO, WI

Registration Details

NPI Number
1720230220
Provider Type
Individual
Gender
Female
NPI Issued
Oct 15, 2008 (17.516382698233 yrs)
Last Updated
Aug 29, 2012
License
747-27 (WI)
Sole Proprietor
Yes

Practice Information

Address
500 GRANT AVE
OMRO, WI, 549631342
Browse WI providers · Browse ZIP 54963
Phone
9206852755
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in OMRO, WI

Name Credential NPI
CHAD MEYER COTA 1871801621
JENNIE LAUE COTA/L 1811359458
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.