Individual
MRS. LISA MARGARET MAJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
200 S NINTH ST, DEPETE, WI 54115
(920) 338-4146
Mailing address
200 S NINTH ST, DEPETE, WI 54115
(920) 338-4146
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
739-19
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
739-19
—
WI
Enumeration date
09/03/2009
Last updated
12/06/2018
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