Individual
AMBER GATDULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2628 14TH STREET, MONROE, WI 53566
(608) 214-8257
Mailing address
2628 14TH ST, MONROE, WI 53566-3110
(608) 214-8257
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1318-19
WI
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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