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1033950894
MARISSA ANDERSON
LAKE MILLS, WI
NPI
1033950894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: WI 16804-24)
Enumeration Date
2024-06-05
Last Update Date
2024-06-05
Business Address
MARISSA ANDERSON DPT, PT
805 ELM ST
LAKE MILLS, WI 53551-1127
Phone number: 920-941-0464
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Mailing Address
MARISSA ANDERSON DPT, PT
805 ELM ST
LAKE MILLS, WI 53551-1127
Phone number: 920-941-0464
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