MRS. Sally A Light, PTA

NPI #1396074951 in Viroqua, Wisconsin

Provider Information

NPI Number: 1396074951
Entity Type: Individual
Name: MRS. Sally A Light, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 10, 2009
Last Updated: Dec 10, 2009

Practice Location

Address: 507 S MAIN ST
Address 2: VERNON MEMORIAL HOSPITAL
City: Viroqua
State: Wisconsin
ZIP Code: 54665-2059
Phone: (608) 637-4385

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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