Individual
AMBER POPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
900 RIDGE ST, STOUGHTON, WI 53589-1864
(608) 873-6611
Mailing address
813 LINCOLN AVE APT 3, STOUGHTON, WI 53589-1279
(608) 513-0076
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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