Daniel M Lieuwen

NPI #1518275163 in De Pere, Wisconsin

Provider Information

NPI Number: 1518275163
Entity Type: Individual
Name: Daniel M Lieuwen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 16, 2010
Last Updated: Sep 16, 2010

Practice Location

Address: 217 1/2 PLEASANT PL
City: De Pere
State: Wisconsin
ZIP Code: 54115-1944
Phone: (920) 562-6366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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