Alise Shore

NPI 1851365761 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1851365761
Gender Female
Enumeration Date 02/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
1120 PINE ST
STANLEY WI, 54768-0220, US
Phone (715) 644-6181
Fax (715) 644-6183
Business Location
1120 PINE ST
PO BOX 220
STANLEY WI, 54768-0220, US
Phone (715) 644-6181
Fax (715) 644-6183
Taxonomy Code 225200000X
License State Wisconsin
License Number 604-019
Remove 1851365761 NPI Number

According to our database, Alise Shore NPI is 1851365761, taxonomy code is 225200000X and license number is 604-019, license state is located at Wisconsin. Alise Shore physically located at 1120 Pine St, Stanley WI, 54768-0220. NPI Number Alise Shore has the Individual type.

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1851365761 NPI number is provided on an as is basis without warranty of any kind. 1851365761 is maintained by the National Plan & Provider Enumeration System. The contents of Alise Shore are for informational purposes only.