Individual
AMY C TRUOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
W227N16857 TILLIE LAKE CT, JACKSON, WI 53037-9000
(262) 365-6170
Mailing address
612 EASTERN AVE, WEST BEND, WI 53095-4114
(217) 306-4864
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12158
WI
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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