Individual
MS. AMY VIRGINIA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2100 E 6TH ST, MERRILL, WI 54452-3107
(715) 536-0355
Mailing address
2100 E 6TH ST, MERRILL, WI 54452-3107
(715) 536-0355
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
643-19
WI
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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