Individual
KATIE ANNE MARCOUILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 JACKSON ST, OSHKOSH, WI 54901-4713
(920) 456-7103
(920) 303-8131
Mailing address
135 JACKSON ST, OSHKOSH, WI 54901-4713
(920) 456-7103
(920) 303-8131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10467-024
WI
Other
Enumeration date
05/20/2009
Last updated
03/21/2022
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