Individual
MRS. MARIE LYNN SANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3100 WASHINGTON ROAD, KENOSHA, WI 53144
(262) 658-4622
(262) 658-1503
Mailing address
3100 WASHINGTON ROAD, KENOSHA, WI 53144
(262) 658-4622
(262) 658-1503
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
300019
WI
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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