Individual
MS. SHERRY LYNN MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
700 PROSPECT AVE, JANESVILLE, WI 53545-3132
(608) 295-5450
Mailing address
700 PROSPECT AVE, JANESVILLE, WI 53545-3132
(608) 295-5450
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
858-019
WI
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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