Individual
MARISSA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
805 ELM ST, LAKE MILLS, WI 53551-1127
(920) 941-0464
(920) 648-2444
Mailing address
805 ELM ST, LAKE MILLS, WI 53551-1127
(920) 941-0464
(920) 648-2444
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
16804-24
WI
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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