Individual
ANN ELIZABETH MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2900 CURRY LN, NEW CURATIVE REHABILITATION, GREEN BAY, WI 54311-5857
(920) 468-9129
Mailing address
1110 HARVEY ST, GREEN BAY, WI 54302-1410
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
846-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40179700
—
WI
Enumeration date
09/27/2006
Last updated
07/08/2007
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