Individual
AMANDA PAQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1101 E SOUTH RIVER ST, APPLETON, WI 54915-2223
(920) 830-9911
Mailing address
6515 GINA LN, DEFOREST, WI 53532-2434
(414) 807-3361
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2719-19
WI
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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