LYDEL MARIE GERONDALE

GREEN BAY, WI
NPI1538668405
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  2504-19)
Enumeration Date2018-02-06
Last Update Date2018-02-06
Business Address
LYDEL MARIE GERONDALE PTA
2305 SAN LUIS PL
GREEN BAY, WI 54304-5211
Phone number: 920-494-5231
Mailing Address
LYDEL MARIE GERONDALE PTA
1112 ROLAND LN APT 16
GREEN BAY, WI 54303-6394
Phone number: 920-604-0631
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