Individual
AMANDA MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6674 RONALD REAGAN AVE, MADISON, WI 53704-2395
(608) 556-6120
Mailing address
411 PRAIRIE HEIGHTS DR STE 101, VERONA, WI 53593-2238
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16100-24
WI
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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