Individual
MARY A VOLKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6330-024
WI
2255A2300X
Athletic Trainer
393-039
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40320500
—
WI
Enumeration date
08/25/2006
Last updated
08/07/2024
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