Individual
MS. AMANDA SUE VERIHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1351 WISCONSIN RIVER DR, PORT EDWARDS, WI 54469-1041
(715) 885-8300
Mailing address
5630 N PARK RD, APT 8, WISCONSIN RAPIDS, WI 54494-4026
(715) 938-4442
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2088
WI
Other
Enumeration date
03/30/2014
Last updated
03/30/2014
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