Individual
AMBER R KNOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 COUNTY ROAD B, SHAWANO, WI 54166-7072
(715) 526-2111
(715) 526-7308
Mailing address
PO BOX 2759, APPLETON, WI 54912-2759
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
160.005550
IL
225200000X
Physical Therapy Assistant
Primary
2607
WI
Other
Enumeration date
04/04/2017
Last updated
05/08/2017
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