Individual
MOLLY KATHERINE VIZELKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1760 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 499-5191
Mailing address
6155 CTY RD I, LENA, WI 54139
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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