MIRANDA MARIE HERMES

GREEN BAY, WI
NPI1619365681
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  2213-19)
Enumeration Date2014-12-29
Last Update Date2014-12-29
Business Address
-- MIRANDA MARIE HERMES PTA
2305 SAN LUIS PLACE
GREEN BAY, WI 54304-5211
Phone number: 920-494-2817
Mailing Address
-- MIRANDA MARIE HERMES PTA
2305 SAN LUIS PLACE
GREEN BAY, WI 54304-5211
Phone number: 920-494-2817
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