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1760956403
AMANDA ORTH
BROOKFIELD, WI
NPI
1760956403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 2855)
Enumeration Date
2019-01-16
Last Update Date
2019-01-16
Business Address
AMANDA ORTH PTA
19395 W CAPITOL DR STE 200
BROOKFIELD, WI 53045-2736
Phone number: 262-923-7101
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Mailing Address
AMANDA ORTH PTA
19395 W CAPITOL DR STE 200
BROOKFIELD, WI 53045-2736
Phone number: 262-923-7101
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