Individual
AMANDA HORNYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1703 60TH ST, KENOSHA, WI 53140-3986
(262) 658-4125
Mailing address
23 S WESTWOOD AVE, BURLINGTON, WI 53105-7946
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2968-19
WI
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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