Individual
AMBER LORRAINE GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
528 W PINE ST, EAGLE RIVER, WI 54501
(715) 477-1523
(715) 477-1524
Mailing address
6698 HWY 17 N, RHINELANDER, WI 54501
(608) 553-2814
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1237019
WI
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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