ZACHARY SHINE

BROOKFIELD, WI
NPI1639643372
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  2764)
Enumeration Date2019-01-16
Last Update Date2019-01-16
Business Address
ZACHARY SHINE PTA
19395 W CAPITOL DR STE 200
BROOKFIELD, WI 53045-2736
Phone number: 262-923-7101
Mailing Address
ZACHARY SHINE PTA
19395 W CAPITOL DR STE 200
BROOKFIELD, WI 53045-2736
Phone number: 262-923-7101
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