Individual
AMY A NORDLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3305 N BALLARD RD STE C, APPLETON, WI 54911-9001
(920) 735-9234
Mailing address
2607 S JASON DR, APPLETON, WI 54915-4438
(920) 739-3923
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
144
WI
Other
Enumeration date
01/30/2007
Last updated
04/06/2008
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