DANIELLE MARIE AMBORN

SOUTH RANGE, WI
NPI1346672490
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1625-19)
Enumeration Date2013-07-31
Last Update Date2013-07-31
Business Address
-- DANIELLE MARIE AMBORN PTA
8274 E SAN RD
SOUTH RANGE, WI 54874-8621
Phone number: 715-398-3523
Mailing Address
-- DANIELLE MARIE AMBORN PTA
5335 SUNNYVIEW RD
HERMANTOWN, MN 55811-3622
Phone number: 218-729-6619
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