Individual
LINDA MARX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 DOUSMAN ST, GREEN BAY, WI 54303-3207
(920) 494-4525
Mailing address
711 WINFORD AVE, GREEN BAY, WI 54303-4023
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1736-019
WI
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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