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Individual
AMY NICOLE WIMMER
Active
Individual
AMY NICOLE WIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15021
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100230198
—
WI
Enumeration date
01/12/2023
Last updated
04/19/2023
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