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Individual

MR. MARVIN TUANTE MONTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1405 TRUAX BLVD, EAU CLAIRE, WI 54703-1474
(715) 552-1030
(715) 552-1033
Mailing address
13379 43RD AVE, CHIPPEWA FALLS, WI 54729-6694
(715) 723-6392

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1131-019
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40458200
WI
Enumeration date
12/13/2006
Last updated
07/08/2007
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