MR. Mark Shannon Milne, PT

NPI #1265400907 in Wittenberg, Wisconsin

Provider Information

NPI Number: 1265400907
Entity Type: Individual
Name: MR. Mark Shannon Milne, PT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 9, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 105 N GENESEE ST
City: Wittenberg
State: Wisconsin
ZIP Code: 54499
Phone: (715) 253-2939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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