Individual
AMANDA FUSSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
915 ELM AVE E, MENOMONIE, WI 54751-1613
(715) 235-9041
(715) 235-2289
Mailing address
915 ELM AVE E, MENOMONIE, WI 54751-1613
(715) 235-9041
(715) 235-2289
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1547-19
WI
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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