Amanda M Mork, PT

NPI #1245331586 in Pewaukee, Wisconsin

Provider Information

NPI Number
1245331586
Entity Type
Individual
Name
Amanda M Mork, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Sep 26, 2006
Last Updated
Jan 22, 2018

Practice Location

Address
2835 N GRANDVIEW BLVD
Address 2
SUITE 100
ZIP Code
53072-5531
Phone
(262) 574-5185

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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