Individual
MRS. HALEY ANN CITROWSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1401 NWAKAMA ST, MARSHALL, MN 56258-5529
(507) 829-2622
(507) 393-7697
Mailing address
2331 20TH ST, SLAYTON, MN 56172-1004
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1407
MN
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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