Tammy Marie Czarnecki PTA

NPI 1013216829 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1013216829
Gender Female
Enumeration Date 03/18/2011
Last Updated 03/18/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
10400 75TH STREET
Phone (262) 948-7045
Fax (262) 948-7331
Business Location
10400 75TH ST
KENOSHA WI, 53142-7884, US
Phone (262) 948-7045
Fax (262) 948-7331
Taxonomy Code 225200000X
License State Wisconsin
License Number 1539-019
Remove 1013216829 NPI Number

According to our database, Mrs. Tammy Marie Czarnecki PTA NPI is 1013216829, taxonomy code is 225200000X and license number is 1539-019, license state is located at Wisconsin. Tammy Marie Czarnecki PTA physically located at 10400 75th Street, Kenosha WI, 53142. NPI Number Tammy Marie Czarnecki PTA has the Individual type.

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1013216829 NPI number is provided on an as is basis without warranty of any kind. 1013216829 is maintained by the National Plan & Provider Enumeration System. The contents of Tammy Marie Czarnecki PTA are for informational purposes only.