AMANDA M WALESH

SHEBOYGAN, WI
NPI1235653163
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  5310-27)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: WI  5310)
Enumeration Date2017-08-02
Last Update Date2017-08-02
Business Address
AMANDA M WALESH COTA, CLT
2629 N 7TH ST
SHEBOYGAN, WI 53083-4932
Phone number: 920-551-5550
Mailing Address
AMANDA M WALESH COTA, CLT
2121 ILLINOIS AVE
NEW HOLSTEIN, WI 53061-1210
Phone number: 920-579-0879