Individual
AMANDA LYNN FERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., PTA
Contact information
Practice address
70 W GREEN TREE RD, CLINTONVILLE, WI 54929-1009
(715) 823-2194
(715) 823-1303
Mailing address
70 W GREEN TREE RD, CLINTONVILLE, WI 54929-1009
(715) 823-2194
(715) 823-1303
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1220-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1220-019
PTA LICENSING NUMBER
WI
Enumeration date
11/10/2008
Last updated
11/10/2008
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