SUE LYN CONDON

PORTAGE, WI
NPI1124213871
Former NameSUE LYN BLAZEK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  4741)
Enumeration Date2007-09-06
Last Update Date2007-09-06
Business Address
Mrs. SUE LYN CONDON P.T.
2817 NEW PINERY RD SUITE 103
PORTAGE, WI 53901-9257
Phone number: 608-745-6211
Mailing Address
Mrs. SUE LYN CONDON P.T.
P.O. BOX 387 2817 NEW PINERY ROAD, SUITE 103
PORTAGE, WI 53949
Phone number: 608-745-6211