Individual
AMANDA L. BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
400 E. 4TH STREET, MANAWA, WI 54961
(800) 776-7016
Mailing address
2448 S 102ND ST STE 340, MILWAUKEE, WI 53227-2147
(800) 776-7016
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1307-019
WI
Other
Enumeration date
05/10/2007
Last updated
12/02/2011
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