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Individual

ANN TRIPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2502 S. ASHLAND AVE., GREEN BAY, WI 54304
(920) 496-4700
(920) 496-4705
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9491
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40398000
WI
Enumeration date
07/27/2006
Last updated
10/16/2020
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