KRISTEN LEIGH MOEN

RICE LAKE, WI
NPI1912179771
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1234-019)
Enumeration Date2008-04-01
Last Update Date2008-04-01
Business Address
-- KRISTEN LEIGH MOEN PTA
1700 W STOUT ST
RICE LAKE, WI 54868-5000
Phone number: 715-236-6408
Mailing Address
-- KRISTEN LEIGH MOEN PTA
1700 W. STOUT ST.
RICE LAKE, WI 54868
Phone number: