Individual
AMANDA POLOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3117 SHORE DR, SUITE 101, MARINETTE, WI 54143-4293
(715) 732-5111
Mailing address
3117 SHORE DR, SUITE 101, MARINETTE, WI 54143-4293
(715) 732-5111
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2184
WI
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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