NYDIA WIANS

GREEN BAY, WI
NPI1356796585
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  2377-19)
Enumeration Date2016-04-25
Last Update Date2016-04-25
Business Address
-- NYDIA WIANS PTA
1630 COMMANCHE AVE
GREEN BAY, WI 54313-5753
Phone number: 920-430-4750
Mailing Address
-- NYDIA WIANS PTA
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222