KELLY LYNN WAGNITZ

GREEN BAY, WI
NPI1528230497
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  721-091)
Enumeration Date2008-03-31
Last Update Date2008-03-31
Business Address
KELLY LYNN WAGNITZ PTA
744 S WEBSTER AVE
GREEN BAY, WI 54301-3505
Phone number: 920-422-7822
Mailing Address
KELLY LYNN WAGNITZ PTA
744 S WEBSTER AVE
GREEN BAY, WI 54301-3505
Phone number: 920-336-0890
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