Individual
DAYNE JOHN MARLENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1700 MIDWAY RD, MENASHA, WI 54952-1230
(920) 739-0111
Mailing address
W9347 COUNTY ROAD J, CATAWBA, WI 54515-9741
(715) 820-1225
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2919-19
WI
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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