Ulma Anclam PTA

NPI 1285032664 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1285032664
Gender Female
Enumeration Date 12/16/2014
Last Updated 12/16/2014
Entity Type Individual
Active Over 1 year ago
Practice Location
13113 E CREEK RD
DARIEN WI, 53114-1127, US
Phone (262) 882-5481
Fax
Business Location
13113 E CREEK RD
DARIEN WI, 53114-1127, US
Phone (262) 882-5481
Fax
Toxanomy
Taxonomy Code 225200000X
License State Wisconsin
License Number 2233-19
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According to our database, Ulma Anclam PTA NPI is 1285032664, taxonomy code is 225200000X and license number is 2233-19, license state is located at Wisconsin. Ulma Anclam PTA physically located at 13113 E Creek Rd, Darien WI, 53114-1127. NPI Number Ulma Anclam PTA has the Individual type.

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1285032664 NPI number is provided on an as is basis without warranty of any kind. 1285032664 is maintained by the National Plan & Provider Enumeration System. The contents of Ulma Anclam PTA are for informational purposes only.