Individual
AMANDA C HALLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
120 KELLER AVE N, AMERY, WI 54001-1034
(715) 268-8000
(715) 268-0111
Mailing address
265 GRIFFIN ST E, AMERY, WI 54001-1439
(715) 268-8000
(715) 268-0311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12218-24
WI
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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