Individual
AMY STILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 S MONROE AVE STE 201, GREEN BAY, WI 54301-4046
(262) 923-7101
Mailing address
225 S MONROE AVE STE 201, GREEN BAY, WI 54301-4046
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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