LUCY ROSE BROCKMAN

FREEDOM, WI
NPI1336490275
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1778-019)
Enumeration Date2012-10-01
Last Update Date2012-10-01
Business Address
-- LUCY ROSE BROCKMAN PTA
N4223 KILLARNEY LN
FREEDOM, WI 54130-7168
Phone number: 920-740-1471
Mailing Address
-- LUCY ROSE BROCKMAN PTA
N4223 KILLARNEY LANE
FREEDOM, WI 54130-7168
Phone number: