LISA VANDEVEN

GREEN BAY, WI
NPI1902122294
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2010-04-13
Last Update Date2010-04-13
Business Address
-- LISA VANDEVEN PTA
760 PILGRIM WAY
GREEN BAY, WI 54304-5263
Phone number: 920-496-4700
Mailing Address
-- LISA VANDEVEN PTA
760 PILGRIM WAY
GREEN BAY, WI 54304-5263
Phone number: 920-496-4700
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