AMY JO HAVERKORN

GREEN BAY, WI
NPI1164706511
Former NameAMY JO LEGRAVE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  223-19)
Enumeration Date2011-10-04
Last Update Date2011-10-04
Business Address
AMY JO HAVERKORN PTA
2763 MANITOWOC RD SUITE B
GREEN BAY, WI 54311-6633
Phone number: 920-468-8288
Mailing Address
AMY JO HAVERKORN PTA
2763 MANITOWOC RD SUITE B
GREEN BAY, WI 54311-6633
Phone number: 920-468-8288
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