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Individual

AMY KATHLEEN GAUGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
13111 N PORT WASHINGTON RD, MEQUON, WI 53097-2416
(262) 243-7465
Mailing address
666 HERITAGE CT, GRAFTON, WI 53024-1180
(262) 376-9258

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4192-024
WI

Other

Enumeration date
06/03/2006
Last updated
07/08/2007
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