MARISSA BACON

KENOSHA, WI
NPI1073068722
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  13544-24)
Enumeration Date2016-08-23
Last Update Date2021-11-19
Business Address
MS. MARISSA BACON PT, DPT
10400 75TH ST
KENOSHA, WI 53142-7884
Phone number: 262-948-3600
Mailing Address
MS. MARISSA BACON PT, DPT
10400 75TH ST
KENOSHA, WI 53142-7884
Phone number:
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