Jean Marie Nagro PTA

NPI 1356517643 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1356517643
Gender Female
Enumeration Date 05/06/2008
Last Updated 05/14/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
N64W38192 LAC LA BELLE DR
OCONOMOWOC WI, 53066-1653, US
Phone (262) 370-3380
Fax
Business Location
N64W38192 LAC LA BELLE DR
OCONOMOWOC WI, 53066-1653, US
Phone (262) 370-3380
Fax
Toxanomy
Taxonomy Code 225200000X
License State Wisconsin
License Number 696019
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According to our database, Ms. Jean Marie Nagro PTA NPI is 1356517643, taxonomy code is 225200000X and license number is 696019, license state is located at Wisconsin. Jean Marie Nagro PTA physically located at N64w38192 Lac La Belle Dr, Oconomowoc WI, 53066-1653. NPI Number Jean Marie Nagro PTA has the Individual type.

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1356517643 NPI number is provided on an as is basis without warranty of any kind. 1356517643 is maintained by the National Plan & Provider Enumeration System. The contents of Jean Marie Nagro PTA are for informational purposes only.