| Amanda Clough-knapp, OT | |
|
12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 | |
| (262) 857-5800 | |
| Not Available |
| Full Name | Amanda Clough-knapp |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 12500 Aurora Dr, Pleasant Prairie, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275938474 | NPI | - | NPPES |
| 100049307 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5549 (Wisconsin) | Primary |
| Provider Name | Aurora Medical Group, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Provider Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Clough-knapp, OT 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 Ph: (262) 857-5800 | Amanda Clough-knapp, OT 12500 Aurora Dr, Pleasant Prairie, WI 53158-1227 Ph: (262) 857-5800 |
Ms. Amy Eiden, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10330 Prairie Ridge Blvd, Pleasant Prairie, WI 53158 Phone: 262-612-2855 Fax: 262-612-2893 | |
Ms. Sara Biagi-keefer, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10330 Prairie Ridge Blvd, Pleasant Prairie, WI 53158 Phone: 262-612-2855 Fax: 262-612-2893 | |
Rebecca M Cassity, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9651 Prairie Ridge Blvd, Pleasant Prairie, WI 53158 Phone: 262-333-8158 | |
Jennifer S Wenzel, OTR/CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000 | |
Nathaniel Marshall, OTD Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5800 | |
Jenna Zaffrann, MOTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 9651 Prairie Ridge Blvd, Pleasant Prairie, WI 53158 Phone: 262-455-7408 |