Michelle Vine, PT

NPI #1083881320 in Sheboygan, Wisconsin

Provider Information

NPI Number: 1083881320
Entity Type: Individual
Name: Michelle Vine, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 15, 2008
Last Updated: May 15, 2008

Practice Location

Address: 1414 N TAYLOR DR
Address 2: SUITE 105
City: Sheboygan
State: Wisconsin
ZIP Code: 53081-1988
Phone: (920) 459-8475

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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