Individual
ANNETTE MARIE WEIRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1504 MADISON AVENUE, FORT ATKINSON, WI 53538-1996
(920) 563-9357
(920) 568-6545
Mailing address
1504 MADISON AVENUE, FORT ATKINSON, WI 53538-1996
(920) 563-9357
(920) 568-6545
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
895-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36107200
—
WI
Enumeration date
07/20/2006
Last updated
03/21/2017
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