Individual
LEXI ANNE FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
825 WHITING AVE, STEVENS POINT, WI 54481-5246
(715) 346-1374
Mailing address
840 COMMONS CIR APT 1, PLOVER, WI 54467-4225
(231) 631-5215
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2651-19
WI
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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