Individual
ULMA ANCLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13113 E CREEK RD, DARIEN, WI 53114-1127
(262) 882-5481
Mailing address
13113 E CREEK RD, DARIEN, WI 53114-1127
(262) 882-5481
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2233-19
WI
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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