Individual
ANDREA AGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 MEMORIAL DR, TWO RIVERS, WI 54241-3900
(920) 793-2281
Mailing address
1264 SUNNY CREEK DR, GREEN BAY, WI 54313-5883
(920) 676-8856
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15376
WI
225200000X
Physical Therapy Assistant
2341
WI
Other
Enumeration date
08/20/2015
Last updated
05/19/2021
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