Individual
MS. SARAH ANN DOSEMAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9244 29TH AVE, KENOSHA, WI 53143-6602
(262) 694-0080
Mailing address
2908 35TH ST, KENOSHA, WI 53140-5118
(262) 331-3268
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
736-19
WI
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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