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Individual

MARESA VISEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 738-2872
Mailing address
623 WINNEBAGO HTS, NEENAH, WI 54956-3457
(309) 259-0293

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14111
WI

Other

Enumeration date
03/16/2018
Last updated
03/16/2018
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