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1285003731
AMY M THIBODEAUX
GREEN BAY, WI
NPI
1285003731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 2801-26)
Enumeration Date
2015-09-15
Last Update Date
2024-09-20
Business Address
AMY M THIBODEAUX OTR
1160 KEPLER DR
GREEN BAY, WI 54311-8321
Phone number: 920-288-5500
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Mailing Address
AMY M THIBODEAUX OTR
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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