MARK ALLEN MEDINA

MILWAUKEE, WI
NPI1023052099
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  0848-19)
Enumeration Date2006-06-16
Last Update Date2013-11-06
Business Address
Mr. MARK ALLEN MEDINA PTA10
3471 S KANSAS AVE
MILWAUKEE, WI 53207-3654
Phone number: 414-486-1307
Mailing Address
Mr. MARK ALLEN MEDINA PTA10
3471 S KANSAS AVE
MILWAUKEE, WI 53207-3654
Phone number: 414-486-1307
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