Individual
AMY NICHOLE RENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1817 32ND ST, KENOSHA, WI 53140-2276
(262) 893-8012
Mailing address
1817 32ND ST, KENOSHA, WI 53140
(262) 893-8012
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2925-19
WI
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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