Individual
MARY LENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
212 E UPHAM, MARSHFIELD, WI 54449
(715) 221-8759
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3766
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40289700
—
WI
Enumeration date
08/21/2006
Last updated
11/17/2022
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