Individual
AMBER HOLLINGSEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1821 N 4TH AVE, WAUSAU, WI 54401-1910
(715) 675-9451
Mailing address
9 PANSY CIR, CLINTONVILLE, WI 54929-9797
(651) 494-4594
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1418-19
WI
225200000X
Physical Therapy Assistant
A807
MN
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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