Individual
LINDI L MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2845 GREENBRIER RD, 4TH FLOOR, GREEN BAY, WI 54311-6519
(920) 288-8470
Mailing address
2854 MEADOW FLOWER LN, GREEN BAY, WI 54313-8161
(920) 434-2939
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2693
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40080700
—
WI
Enumeration date
03/06/2007
Last updated
07/08/2007
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