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1518451418
AMANDA JOHANSEN
GREEN BAY, WI
NPI
1518451418
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Former Name
AMANDA SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 14194-24)
Enumeration Date
2018-06-14
Last Update Date
2023-01-02
Business Address
AMANDA JOHANSEN DPT
3021 VOYAGER DR
GREEN BAY, WI 54311-8303
Phone number: 920-496-4700
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Mailing Address
AMANDA JOHANSEN DPT
PO BOX 19070
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700
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