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Individual

AMY E RENKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPIST

Contact information

Practice address
7253 S 76TH ST, FRANKLIN, WI 53132-9041
(414) 425-9700
Mailing address
7253 S 76TH ST, FRANKLIN, WI 53132-9041
(414) 425-9700

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10605-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
$$$$$$$$$
SOCIAL SECURITY NUMBER
WI
Enumeration date
07/03/2006
Last updated
05/21/2020
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