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Individual

AMANDA R WHITING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT PT

Contact information

Practice address
400 3RD AVE W, ASHLAND, WI 54806-1678
(715) 682-8000
(715) 682-3145
Mailing address
400 3RD AVE W, ASHLAND, WI 54806-1678
(715) 682-8000
(715) 682-3145

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13844-24
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13844-24
WI
Enumeration date
11/07/2017
Last updated
11/07/2017
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