IndividualActive
Amanda Braden, OTR/L
NPI 1902084346 · Contractor · Lake Geneva, WI
Provider details
- NPI number
- 1902084346
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 0056-007841 (IL)
Specialties & taxonomies
Other Service Providers
Practice location
N2195 Beech Blvd
Lake Geneva, WI 53147-4424
Phone: (262) 206-1567
Fax: (262) 248-9479
Approximate (ZIP-level) locationGet directions
Mailing address
N2195 Beech Blvd
Lake Geneva, WI 53147-4424
Registry dates
- Enumerated
- 2008-02-07
- Last updated
- 2008-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.