Individual
MARY MICHELLE RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
2626 N WAUWATOSA AVE, WAUWATOSA, WI 53213-1137
(414) 774-7794
Mailing address
9712 W HOWARD AVE, MILWAUKEE, WI 53228-1352
(414) 510-7830
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1153-019
WI
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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