Individual
AMY SUSAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7610 PERSHING BLVD, KENOSHA, WI 53142-4318
(262) 948-3622
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(262) 948-3622
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1825
WI
Other
Enumeration date
01/16/2012
Last updated
12/10/2020
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