Individual
AMY JOY DULANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5219 88TH AVE, KENOSHA, WI 53144-7468
(262) 653-8050
Mailing address
5219 88TH AVE, KENOSHA, WI 53144-7468
(262) 653-8050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2664-19
WI
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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