Individual
TERESA E AMONETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5752 TOKAY BLVD, MADISON, WI 53719-1237
(608) 231-3555
Mailing address
5752 TOKAY BLVD, MADISON, WI 53719-1237
(608) 231-3555
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2843-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36113200
—
WI
Enumeration date
12/05/2006
Last updated
07/08/2007
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