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Individual

MRS. LENA MARIE ABRAHAMSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
133 S MAIN ST, SPORT AND SPINE CLINIC, GREENWOOD, WI 54437-0297
(715) 267-4583
(715) 267-4586
Mailing address
801 EAST 4TH AVENUE, STANLEY, WI 54768-1258
(715) 644-5335

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2645024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40057600
WI
Enumeration date
05/11/2006
Last updated
07/08/2007
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