Amanda Sue Hang, COTA
Individual provider Active NPI Occupational Therapy Assistant · Appleton, WI
NPI 1720650930 · NPPES record last updated Jul 15, 2021
Key facts
- NPI
- 1720650930
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 5770-27 (WI)
- Practice address
- 1335 S Oneida St
Appleton, WI 54915-1351 - Phone
- (920) 731-6646
- NPI assigned
- Jul 15, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5770-27 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5770-27 | WI | Yes |
Addresses
Primary practice location
1335 S Oneida St
Appleton, WI 54915-1351
Mailing address
2632 S East St
Appleton, WI 54915-2523
Phone (920) 841-1547
Other providers in Appleton, WI
- Hand to Shoulder Center of Wisconsin, LTD.
- Daniel Handrich
- Tamiqua Handschke
- Joseph Hanel
- Ashlee Q Hanford-Longsine
- Maria R Hanneman
- Tracy Hanneman
- Mary J. Hannula
- Alissa Hannus
- Andrea T. Hansen
All providers in Appleton, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.