AMANDA JOHANSEN

GREEN BAY, WI
NPI1518451418
Former NameAMANDA SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  14194-24)
Enumeration Date2018-06-14
Last Update Date2023-01-02
Business Address
AMANDA JOHANSEN DPT
3021 VOYAGER DR
GREEN BAY, WI 54311-8303
Phone number: 920-496-4700
Mailing Address
AMANDA JOHANSEN DPT
PO BOX 19070
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700
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