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Contact Information

AMANDA L DUFOUR, MOTR
1001 SERVICE RD
KIEL, WI53042
 Phone: 920-894-2636
 Fax: 920-894-1005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for AMANDA L DUFOUR · (Female)

NPI Number 1457696346
Status Active
Credentials MOTR
Entity Individual
Enumeration date 12/03/2012
Last updated 09/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 5266
  • WI License # 5266-26
  • WI Medicaid 100027458
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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