Renee Marie Vaara PTA

NPI 1629175054 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1629175054
Gender Female
Enumeration Date 09/20/2006
Last Updated 07/10/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
103 S GIBSON ST
MEDFORD WI, 54451, US
Phone (715) 748-8112
Fax (715) 748-8792
Business Location
135 S GIBSON ST
MEDFORD WI, 54451-1622, US
Phone (715) 748-8100
Fax (715) 748-8199
Toxanomy
Taxonomy Code 225200000X
License State Wisconsin
License Number 612-019
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According to our database, Renee Marie Vaara PTA NPI is 1629175054, taxonomy code is 225200000X and license number is 612-019, license state is located at Wisconsin. Renee Marie Vaara PTA physically located at 103 S Gibson St, Medford WI, 54451. NPI Number Renee Marie Vaara PTA has the Individual type.

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1629175054 NPI number is provided on an as is basis without warranty of any kind. 1629175054 is maintained by the National Plan & Provider Enumeration System. The contents of Renee Marie Vaara PTA are for informational purposes only.