Individual
MR. MAREN ANN SKOVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
600 S WEBSTER AVE, GREEN BAY, WI 54301-3503
(920) 432-3213
(920) 432-0614
Mailing address
306 E GLENBROOK DR, PULASKI, WI 54162-9423
(920) 609-4670
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1454-019
WI
Other
Enumeration date
01/30/2009
Last updated
01/30/2009
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