Individual
MRS. EWA MARIA NARKIEWICZ-JODKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
200 S 9TH ST, DE PERE, WI 54115-1393
(920) 338-4145
(920) 338-9121
Mailing address
3204 HOWARD VIEW LN, GREEN BAY, WI 54313-4227
(920) 592-0734
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1915-19
WI
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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