Individual
LISA MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4810 BARBICAN AVE, WESTON, WI 54476-4186
(715) 393-0400
Mailing address
4810 BARBICAN AVE, WESTON, WI 54476-4186
(715) 393-0400
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2238-19
WI
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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