Individual
LISA M ZANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8201 MISH KO SWEN DR, CRANDON, WI 54520-8631
(715) 478-4300
Mailing address
3386 S FAUST LAKE RD, RHINELANDER, WI 54501-8212
(715) 499-0985
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
283-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40344900
—
WI
Enumeration date
10/17/2006
Last updated
11/15/2024
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