MEDICARE: AMANDA S SOLBERG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	4076-026	WI

General Provider Information

NPI Number	:	1376655480
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA S SOLBERG

Provider Business Mailing Address
First Line	:	646 KNICKERBOCKER ST
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53711-1849
Country	:	US
Telephone Number	:	608-215-1544
Fax Number	:

Provider Business Practice Location Address
First Line	:	3344 CONCORD AVE
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53714-1134
Country	:	US
Telephone Number	:	608-215-1544
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	04/09/2026

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Directions to “ AMANDA S SOLBERG ” Practice Location

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