Amy Jo Haverkorn, PTA

NPI #1164706511 in Green Bay, Wisconsin

Provider Information

NPI Number: 1164706511
Entity Type: Individual
Name: Amy Jo Haverkorn, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 4, 2011
Last Updated: Oct 4, 2011

Practice Location

Address: 2763 MANITOWOC RD
Address 2: SUITE B
City: Green Bay
State: Wisconsin
ZIP Code: 54311-6633
Phone: (920) 468-8288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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