JERAN MARIE RAIVALA

SUPERIOR, WI
NPI1922271949
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1169-019)
Enumeration Date2008-04-10
Last Update Date2008-04-10
Business Address
Miss JERAN MARIE RAIVALA LPTA
6630 OGDEN AVE
SUPERIOR, WI 54880-6056
Phone number: 218-391-8788
Mailing Address
Miss JERAN MARIE RAIVALA LPTA
6630 OGDEN AVE
SUPERIOR, WI 54880-6056
Phone number: 218-391-8788
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