Individual
AMY J SORDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1405 MILL ST, NEW LONDON, WI 54961-2155
(920) 531-2031
Mailing address
N6044 SPRING CREEK RD, MANAWA, WI 54949-9127
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
6259
WI
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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