KATHI ELLISON DEBAKER

GREEN BAY, WI
NPI1508039041
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2008-04-04
Last Update Date2008-04-04
Business Address
-- KATHI ELLISON DEBAKER PTA
1555 DOUSMAN ST
GREEN BAY, WI 54303-3207
Phone number: 920-494-4525
Mailing Address
-- KATHI ELLISON DEBAKER PTA
1555 DOUSMAN ST
GREEN BAY, WI 54303-3207
Phone number: 920-494-4525