Individual
AMY CHUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 456-6000
Mailing address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 456-6000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13941-24
WI
225100000X
Physical Therapist
62655
OR
225100000X
Physical Therapist
PT60831589
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100105827
—
WI
Enumeration date
09/01/2017
Last updated
02/14/2025
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