Individual
AMY L MACEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
900 ILLINOIS AVENUE, STEVENS POINT, WI 54481
(715) 346-5190
Mailing address
900 ILLINOIS AVENUE, STEVENS POINT, WI 54481
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10555
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10555
WI STATE LICENSE
WI
Enumeration date
02/04/2008
Last updated
02/04/2008
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