Individual
AMANDA BANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7517 W COLDSPRING RD, GREENFIELD, WI 53220-2814
(414) 327-6603
(414) 327-5411
Mailing address
7517 W COLDSPRING RD, GREENFIELD, WI 53220-2814
(414) 327-6603
(414) 327-5411
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1784-19
WI
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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