Individual
AMANDA CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 2ND ST, MENOMINEE, MI 49858-3203
(906) 863-9941
Mailing address
N2860 S 11TH RD, COLEMAN, WI 54112-9426
(920) 373-0932
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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