Individual
ROBIN LACHANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1731 17TH AVENUE, BLOOMER, WI 54724
(715) 568-4669
Mailing address
1731 17TH AVENUE, BLOOMER, WI 54724
(715) 568-4669
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1924-19
WI
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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