TRACY LYNN VAN DE YACHT

GREEN BAY, WI
NPI1710076716
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  901-019)
Enumeration Date2006-10-11
Last Update Date2007-07-08
Business Address
-- TRACY LYNN VAN DE YACHT PTA
2900 CURRY LN N.E.W. CURATIVE REHABILITATION, INC.
GREEN BAY, WI 54311-5857
Phone number: 920-468-9129
Mailing Address
-- TRACY LYNN VAN DE YACHT PTA
1513 BELLE HOLLOW LN
GREEN BAY, WI 54313-3210
Phone number: 920-434-0104
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