Individual
AMANDA WALDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
677 E STATE ST, BURLINGTON, WI 53105-1639
(262) 763-9531
Mailing address
3551 N CRAMER ST, SHOREWOOD, WI 53211-2506
(312) 402-5097
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15174
WI
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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