Individual
AMY SONNENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 W PLEASANT ST, PORTAGE, WI 53901-1742
(608) 745-5910
Mailing address
E6861 N DEWEY AVE APT B, REEDSBURG, WI 53959-9777
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1255-019
WI
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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