Individual
JOANN MENSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
104 E DALLAS ST, DALLAS, WI 54733-9699
(715) 837-1222
Mailing address
N5604 COUNTY ROAD PP, DURAND, WI 54736-4503
(715) 672-4715
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1803-19
WI
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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