Marie Lynn Sands PTA

NPI 1609035765 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1609035765
Gender Female
Enumeration Date 06/04/2008
Last Updated 06/04/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3100 WASHINGTON ROAD
KENOSHA WI, 53144, US
Phone (262) 658-4622
Fax (262) 658-1503
Business Location
3100 WASHINGTON ROAD
KENOSHA WI, 53144, US
Phone (262) 658-4622
Fax (262) 658-1503
Toxanomy
Taxonomy Code 225200000X
License State Wisconsin
License Number 300019
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According to our database, Mrs. Marie Lynn Sands PTA NPI is 1609035765, taxonomy code is 225200000X and license number is 300019, license state is located at Wisconsin. Marie Lynn Sands PTA physically located at 3100 Washington Road, Kenosha WI, 53144. NPI Number Marie Lynn Sands PTA has the Individual type.

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1609035765 NPI number is provided on an as is basis without warranty of any kind. 1609035765 is maintained by the National Plan & Provider Enumeration System. The contents of Marie Lynn Sands PTA are for informational purposes only.