Individual
AMANDA ORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
19395 W CAPITOL DR STE 200, BROOKFIELD, WI 53045-2736
(262) 923-7101
(262) 923-7178
Mailing address
19395 W CAPITOL DR STE 200, BROOKFIELD, WI 53045-2736
(262) 923-7101
(262) 923-7178
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2855
WI
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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