MALLORY MAE LEANNA

APPLETON, WI
NPI1336510403
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  2376-19)
Enumeration Date2015-10-14
Last Update Date2024-11-04
Business Address
MALLORY MAE LEANNA
325 E FLORIDA AVE
APPLETON, WI 54911-1325
Phone number: 920-731-7310
Mailing Address
MALLORY MAE LEANNA
325 E FLORIDA AVE
APPLETON, WI 54911-1325
Phone number: 920-731-7310