Hartman, Amanda Jo

Hartman, Amanda Jo is an individual health care provider with primary practice located at 709 Spring Valley Rd , Burlington WI 53105-7614. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Hartman, Amanda Jo can be contacted via phone (262) 971-9300.

Contact Information

Primary practice address
709 Spring Valley Rd Burlington WI 53105-7614
Phone: (262) 971-9300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 5240-26 Wisconsin

Profile Details

NPI number 1447860077
LBN Legal business name Hartman, Amanda Jo
Credentials MSOTR
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2020
Last updated Aug 7th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447860077 NPPES
Wisconsin Other 5240-26 DIVISION OF PROFESSIONAL CREDENTIAL PROCESSING DEPARTMENT OF SAFETY AND PROFESSI

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