Individual
MRS. MAXINE E. CODER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1800 NEW YORK AVE, SUPERIOR, WI 54880-2008
(715) 394-5591
Mailing address
1800 NEW YORK AVE, SUPERIOR, WI 54880-2008
(715) 394-5591
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1734019
WI
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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