Individual
MRS. AMY SUE BERANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
4810 BARBICAN AVE, WESTON, WI 54476
(715) 393-0419
(715) 359-0938
Mailing address
232365 PEBBLESTONE RD, WAUSAU, WI 54403
(715) 432-1833
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2763-19
WI
Other
Enumeration date
06/27/2018
Last updated
11/03/2021
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