Individual
LINDSAY A ANTCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7100
(608) 756-4700
Mailing address
3524 E MILWAUKEE ST, JANESVILLE, WI 53546-1626
(608) 756-7100
(608) 756-4700
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
1110-019
WI
225200000X
Physical Therapy Assistant
Primary
1110-19
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427126598
—
WI
Enumeration date
11/30/2006
Last updated
08/27/2013
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