SHANA BLACKMAN

MOUNT PLEASANT, WI
NPI1891192647
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  11775-024)
Enumeration Date2014-11-21
Last Update Date2014-11-21
Business Address
-- SHANA BLACKMAN DPT
1139 S SUNNYSLOPE DR SUITE 203
MOUNT PLEASANT, WI 53406-3998
Phone number: 262-321-0240
Mailing Address
-- SHANA BLACKMAN DPT
2560 N 81ST ST
WAUWATOSA, WI 53213-1015
Phone number: 414-479-0776
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