Individual
ASHLEY LULICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 NEW YORK AVE, SUPERIOR, WI 54880-2008
(715) 394-5591
Mailing address
65895 HART LAKE RD, IRON RIVER, WI 54847-4577
(715) 292-4083
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4012-19
WI
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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