Individual
LINDSEY VIDMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1436 S LINCOLN ST, SHAWANO, WI 54166-3427
(715) 526-6111
Mailing address
1436 S LINCOLN ST, SHAWANO, WI 54166-3427
(715) 526-6111
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2332-19
WI
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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