Individual
AMY HAFERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5721 HONEYSUCKLE CT, WISCONSIN RAPIDS, WI 54494-7231
(715) 572-1813
Mailing address
5721 HONEYSUCKLE CT, WISCONSIN RAPIDS, WI 54494-7231
(715) 572-1813
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1595-019
WI
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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