Individual
MARJORIE RAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2805 HUNTERS TRL, PORTAGE, WI 53901-3429
(608) 745-4347
Mailing address
2805 HUNTERS TRL, PORTAGE, WI 53901-3429
(608) 745-4347
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1804
WI
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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