Individual
CONSTANCE SALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1902 MEAD AVE, SHEBOYGAN, WI 53081-6140
(920) 458-8333
Mailing address
600 JAMES ST, APT 208, DE PERE, WI 54115-2855
(920) 242-3737
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2529
WI
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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