Individual
MARIE KONZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1731 17TH AVE, BLOOMER, WI 54724-1512
(715) 568-4669
Mailing address
1916 OHM AVE, EAU CLAIRE, WI 54701-4696
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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