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Individual

MS. MARIE N HASKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
3505 LAKE LYNDA DR, SUITE 207, ORLANDO, FL 32817-8324
(877) 896-3660
(888) 345-7994
Mailing address
2201 E. FOREST STREET, #5, MARSHFIELD, WI 54449
(920) 819-4217

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
194-019
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36112500
WI
Enumeration date
05/11/2007
Last updated
07/08/2007
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