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Individual

MRS. DARLA LYNNE SCHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
305 S CLARK ST, MAYVILLE, WI 53050-1488
(920) 387-1370
(920) 387-2429
Mailing address
532 S 15TH AVE, WEST BEND, WI 53095-3714
(262) 305-2691

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
887-019
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40430800
WI
Enumeration date
05/02/2007
Last updated
07/08/2007
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