Individual
AMY PLAGENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
960 S RAPIDS RD, MANITOWOC, WI 54220-4146
(920) 684-1144
Mailing address
6897 FAIRVIEW RD, DENMARK, WI 54208-8671
(920) 964-1821
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1022-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40468800
—
WI
Enumeration date
05/18/2007
Last updated
07/08/2007
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