STACEY LEE SOLOMON

BELOIT, WI
NPI1942870589
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  3151-19)
Enumeration Date2021-06-27
Last Update Date2021-06-27
Business Address
STACEY LEE SOLOMON
2250 E WEST HART RD
BELOIT, WI 53511-1816
Phone number: 608-628-2335
Mailing Address
STACEY LEE SOLOMON
504 NEWVILLE ST
EDGERTON, WI 53534-1914
Phone number: 608-628-2335
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