Individual
MARY CISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
920 STATE ST, MANITOWOC, WI 54220-4038
(920) 683-1900
Mailing address
5000 MEMORIAL DR, TWO RIVERS, WI 54241-3900
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
558
WI
Other
Enumeration date
03/15/2007
Last updated
11/06/2013
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