Lindsey Vidmar

NPI #1407212897 in Shawano, Wisconsin

Provider Information

NPI Number: 1407212897
Entity Type: Individual
Name: Lindsey Vidmar
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 14, 2016
Last Updated: Jan 14, 2016

Practice Location

Address: 1436 S LINCOLN ST
City: Shawano
State: Wisconsin
ZIP Code: 54166-3427
Phone: (715) 526-6111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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