MARK R TISDALE, PTA
Restorative Service Providers at 75 St, Kenosha, WI

License number
Wisconsin 897-019
Category
Restorative Service Providers
Type
Physical Therapy Assistant
Address
Address
10400 75Th St, Kenosha, WI 53142
Phone
(262) 948-7045
(262) 948-7331 (Fax)
National Provider ID: 1154626745
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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