Individual
MRS. ROBIN MARIE WANKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
305 S CLARK ST, MAYVILLE, WI 53050-1488
(920) 387-1370
(920) 387-2429
Mailing address
1428 MOUNT LN, HUBERTUS, WI 53033-9639
(262) 628-4150
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
358-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60087900
—
WI
Enumeration date
05/08/2007
Last updated
07/09/2007
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