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1649284654
TRACY SEVERSON
GREEN BAY, WI
NPI
1649284654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 6172)
Enumeration Date
2006-07-27
Last Update Date
2020-10-16
Business Address
TRACY SEVERSON PT
2502 S. ASHLAND AVE.
GREEN BAY, WI 54304
Phone number: 920-496-4700
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Mailing Address
TRACY SEVERSON PT
PO BOX 19070
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700
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