Individual
MARY ELLEN AKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
405 STAGELINE RD, HUDSON, WI 54016-7848
(715) 531-6400
Mailing address
405 STAGELINE RD, HUDSON, WI 54016-7848
(715) 531-6400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6501
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40463800
—
WI
Enumeration date
03/07/2006
Last updated
04/21/2011
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