AMANDA KANACK

MILWAUKEE, WI
NPI1376026062
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2018-09-10
Last Update Date2023-06-26
Business Address
AMANDA KANACK PTA
2906 S 20TH ST
MILWAUKEE, WI 53215-3732
Phone number: 414-672-1353
Mailing Address
AMANDA KANACK PTA
PO BOX 778789
CHICAGO, IL 60677-8789
Phone number: 414-672-1353
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