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1124741517
AMANDA MCCOLLUM
MADISON, WI
NPI
1124741517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 16100-24)
Enumeration Date
2022-09-21
Last Update Date
2022-09-21
Business Address
AMANDA MCCOLLUM DPT
6674 RONALD REAGAN AVE
MADISON, WI 53704-2395
Phone number: 608-556-6120
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Mailing Address
AMANDA MCCOLLUM DPT
411 PRAIRIE HEIGHTS DR STE 101
VERONA, WI 53593-2238
Phone number:
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