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Individual

HANNA MONICA WOMACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICENSED PHYSICAL TH

Contact information

Practice address
316 NORTH MILWAUKEE STREET, SUITE 208 HERITAGE STAFFING CONSULTING, MILWAUKEE, WI 53202-5803
(414) 615-0665
Mailing address
316 NORTH MILWAUKEE STREET, SUITE 208 HERITAGE STAFFING CONSULTING, MILWAUKEE, WI 53202-5803
(414) 615-0665
(414) 615-0667

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
860019
WI

Other

Enumeration date
12/17/2007
Last updated
12/17/2007
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