Individual
AMY CHAMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8633 32ND AVE, KENOSHA, WI 53142-5187
(262) 694-8800
(262) 694-9125
Mailing address
8633 32ND AVE, KENOSHA, WI 53142-5187
(262) 694-8800
(262) 694-9125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11541024
WI
Other
Enumeration date
09/03/2010
Last updated
10/30/2013
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