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Individual

MISS SARAH SCHULTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LAT

Contact information

Practice address
421 CAMELOT DR, FOND DU LAC, WI 54935-8335
(920) 926-8066
Mailing address
585 SOUTH ST, GREEN LAKE, WI 54941-9407
(920) 229-1218

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
534-039
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22
RESPIRATORY, REHABILITATI
WI
Enumeration date
01/05/2007
Last updated
02/06/2008
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