Individual
ANNA RAE PELNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
903 MAIN AVE, CRIVITZ, WI 54114-1619
(715) 854-2717
Mailing address
W6423 LITTLE RIVER RD, PESHTIGO, WI 54157-9402
(920) 606-9662
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1638-19
WI
Other
Enumeration date
08/27/2010
Last updated
06/24/2015
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