AMANDA S THOR

SHEBOYGAN, WI
NPI1689841918
Former NameAMANDA S LEROY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1165019)
Enumeration Date2008-05-15
Last Update Date2010-08-25
Business Address
-- AMANDA S THOR PTA
3014 ERIE AVE
SHEBOYGAN, WI 53081-3658
Phone number: 920-453-7087
Mailing Address
-- AMANDA S THOR PTA
3014 ERIE AVE
SHEBOYGAN, WI 53081-3658
Phone number: 920-459-3028
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