TARA M SHANK

GREEN BAY, WI
NPI1063442531
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  10195-024)
Enumeration Date2006-07-03
Last Update Date2007-07-08
Business Address
-- TARA M SHANK PT
2020 S WEBSTER AVE
GREEN BAY, WI 54301-2291
Phone number: 920-445-7222
Mailing Address
-- TARA M SHANK PT
2020 S WEBSTER AVE
GREEN BAY, WI 54301-2291
Phone number: 920-445-7222
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