Individual
AMANDA DENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5000 MEMORIAL DR, TWO RIVERS, WI 54241-3900
(920) 794-5000
Mailing address
5000 MEMORIAL DR, TWO RIVERS, WI 54241-3900
(920) 794-5000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1708
WI
Other
Enumeration date
12/23/2010
Last updated
12/23/2010
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