Individual
MICHAELA E SHIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1010 E WAUSAU AVE, WAUSAU, WI 54403-3101
(715) 842-2028
Mailing address
524 E QUINCY ST, NEW LONDON, WI 54961-1949
(920) 366-1705
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3150
WI
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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