Individual
MS. MARLENE CAROLE CARTER MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T,
Contact information
Practice address
808 MAIN ST E, MENOMONIE, WI 54751-2735
(715) 231-2771
Mailing address
E2851 JAMES LN, EAU CLAIRE, WI 54701-8545
(715) 878-4678
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1015
MN
225100000X
Physical Therapist
2661-024
WI
2251P0200X
Pediatric Physical Therapist
Primary
2661-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40143300
—
WI
Enumeration date
05/21/2007
Last updated
09/20/2012
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