Individual
SARA LUBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 WESTERN AVE, MANITOWOC, WI 54220-3712
(920) 320-3131
(920) 320-5114
Mailing address
2300 WESTERN AVE, MANITOWOC, WI 54220-3712
(920) 320-3131
(920) 320-5114
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
408-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390806395
—
WI
Enumeration date
01/07/2020
Last updated
01/07/2020
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