Tara M Shank, PT

NPI #1063442531 in Green Bay, Wisconsin

Provider Information

NPI Number: 1063442531
Entity Type: Individual
Name: Tara M Shank, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2020 S WEBSTER AVE
City: Green Bay
State: Wisconsin
ZIP Code: 54301-2291
Phone: (920) 445-7222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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