Individual
AMANDA LOEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1700 C A BECKER DR, RACINE, WI 53406-4714
(262) 637-9751
Mailing address
1349 RUSSET ST, RACINE, WI 53405-2842
(262) 412-5426
(262) 554-6976
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2261-19
WI
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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