Amanda J Warren, PT | |
700 N Lake Ave, Twin Lakes, WI 53181-9436 | |
(262) 877-2124 | |
Not Available |
Full Name | Amanda J Warren |
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Gender | Female |
Speciality | Physical Therapist |
Location | 700 N Lake Ave, Twin Lakes, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295939270 | NPI | - | NPPES |
40371000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 9848-024 (Wisconsin) | Primary |
Provider Name | Aurora Medical Group, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
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Amanda J Warren, PT 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (262) 877-2124 | Amanda J Warren, PT 700 N Lake Ave, Twin Lakes, WI 53181-9436 Ph: (262) 877-2124 |
Monica E Uselding, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 700 N Lake Ave, Twin Lakes, WI 53181 Phone: 262-877-2124 | |
Miss Mallory A. Kelly, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 700 N Lake Ave, Twin Lakes, WI 53181 Phone: 262-877-2124 | |
Ashley D. Fauth, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 237 E Main St, Twin Lakes, WI 53181 Phone: 262-877-4884 Fax: 262-877-4629 | |
Tina Jesse, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 700 N Lake Ave, Twin Lakes, WI 53181 Phone: 262-877-2124 | |
Emily M. Bartelt, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 700 N Lake Ave, Twin Lakes, WI 53181 Phone: 262-877-2124 | |
Samantha Beck, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 700 N Lake Ave, Twin Lakes, WI 53181 Phone: 262-877-2124 |