TASHA SUNITA

BROOKFIELD, WI
NPI1972576825
Former NameTASHA LORGE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  291-019)
Enumeration Date2006-02-10
Last Update Date2007-07-08
Business Address
TASHA SUNITA PTA
17280 W NORTH AVE #104
BROOKFIELD, WI 53045-4366
Phone number: 262-780-0707
Mailing Address
TASHA SUNITA PTA
17280 W NORTH AVE #104
BROOKFIELD, WI 53045-4366
Phone number: 262-780-0707
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