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1932542545
AMY BETH SMEDEMA
GREEN BAY, WI
NPI
1932542545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 1961-19)
Enumeration Date
2013-04-12
Last Update Date
2013-04-12
Business Address
AMY BETH SMEDEMA PTA
632 S JACKSON ST
GREEN BAY, WI 54301-3512
Phone number: 920-217-4959
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Mailing Address
AMY BETH SMEDEMA PTA
632 S JACKSON ST
GREEN BAY, WI 54301-3512
Phone number: 920-217-4959
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