Individual
TRACY LAMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3375 W BREWSTER ST, APPLETON, WI 54914-1602
(920) 749-5870
Mailing address
3375 W BREWSTER ST, APPLETON, WI 54914-1602
(920) 749-5870
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
965124
WI
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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