AMANDA DEROSE

KENOSHA, WI
NPI1568800241
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  12399-024)
Enumeration Date2013-06-04
Last Update Date2013-06-04
Business Address
AMANDA DEROSE MCEP, DPT
3506 WASHINGTON RD
KENOSHA, WI 53144-1654
Phone number: 262-653-3800
Mailing Address
AMANDA DEROSE MCEP, DPT
5802 40TH AVE
KENOSHA, WI 53144-2746
Phone number:
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