Individual
AMANDA GASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
19525 W NORTH AVE, BROOKFIELD, WI 53045-4107
(262) 780-3813
Mailing address
19525 W NORTH AVE, BROOKFIELD, WI 53045-4107
(262) 780-3813
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12779
WI
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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