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Individual

MARY C REPKING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
3401 CRANBERRY BLVD, WESTON, WI 54476-5217
(715) 393-2100
Mailing address
550 COUNTY ROAD F, ATHENS, WI 54411-9100
(715) 539-2794

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3155-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40111100
WI
Enumeration date
08/31/2006
Last updated
07/08/2007
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