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Individual

SHARON LOUISE AMIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
611 WAYNE ST, MIDDLEBURY, IN 46540-9543
(574) 825-8118
(574) 822-1169
Mailing address
611 WAYNE ST, MIDDLEBURY, IN 46540-9543
(574) 825-8118
(574) 822-1169

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05006720A
IN
225100000X
Physical Therapist
5501006973
MI

Other

Enumeration date
01/13/2007
Last updated
07/08/2007
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