CARISSA JEAN POLSTER

FOND DU LAC, WI
NPI1720257041
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1417-19)
Enumeration Date2008-02-21
Last Update Date2008-02-21
Business Address
-- CARISSA JEAN POLSTER PTA
430 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-5390
Mailing Address
-- CARISSA JEAN POLSTER PTA
430 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-5390
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