Individual
ANGELA L CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3300 W BREWSTER ST, APPLETON, WI 54914-6444
(920) 832-1657
(920) 968-4153
Mailing address
106 S HOLMEN DR STE 2, HOLMEN, WI 54636-9468
(608) 526-9888
(608) 526-9965
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11969-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11969-24
PT LICENSE
WI
Enumeration date
08/29/2012
Last updated
08/29/2012
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