AMY EVENSTAD

LA CROSSE, WI
NPI1386706455
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  4511-026)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: WI  1489-027)
Enumeration Date2006-12-15
Last Update Date2008-05-14
Business Address
-- AMY EVENSTAD OTR
2575 7TH ST S
LA CROSSE, WI 54601-5249
Phone number: 608-775-8251
Mailing Address
-- AMY EVENSTAD OTR
N496 COUNTY ROAD PI
COON VALLEY, WI 54623-9374
Phone number: