ANTHONY JACK ETTMAYER

PORT WASHINGTON, WI
NPI1457649352
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  11821-024)
Enumeration Date2011-07-13
Last Update Date2011-07-13
Business Address
MR. ANTHONY JACK ETTMAYER PT
1119 N WISCONSIN ST
PORT WASHINGTON, WI 53074-1209
Phone number: 262-284-5892
Mailing Address
MR. ANTHONY JACK ETTMAYER PT
1119 N WISCONSIN ST
PORT WASHINGTON, WI 53074-1209
Phone number: 262-284-5892
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