Individual
SHERRY GNABASIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
2120-19
Contact information
Practice address
1020 HILL ST, WATERTOWN, WI 53098-3016
(920) 206-4935
Mailing address
1020 HILL ST, WATERTOWN, WI 53098-3016
(920) 206-4935
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2120-19
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821091323
—
WI
Enumeration date
05/20/2014
Last updated
05/20/2014
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