Individual
COURTNEY AMBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
14555 W NATIONAL AVE, NEW BERLIN, WI 53151-4494
(262) 827-2929
Mailing address
14555 W NATIONAL AVE, NEW BERLIN, WI 53151-4494
(262) 827-2929
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14995
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100117623
—
WI
Enumeration date
09/28/2020
Last updated
10/16/2023
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