Individual
CHEURKI LY TONG-PAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-4101
Mailing address
727 WEST AVE S, LA CROSSE, WI 54601-4727
(920) 819-4937
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
7155-26
WI
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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