SAMANTHA LYN FETTERER

SHEBOYGAN, WI
NPI1740492404
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  74-019)
Enumeration Date2007-05-04
Last Update Date2007-10-30
Business Address
MRS. SAMANTHA LYN FETTERER PTA
2629 N 7TH ST
SHEBOYGAN, WI 53083-4932
Phone number: 920-451-5550
Mailing Address
MRS. SAMANTHA LYN FETTERER PTA
2120 BROADWAY AVENUE
SHEBOYGAN, WI 53081
Phone number: 920-803-8316