Tara Marie Cleereman, PTA

NPI #1659620227 in Depere, Wisconsin

Provider Information

NPI Number: 1659620227
Entity Type: Individual
Name: Tara Marie Cleereman, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 29, 2012
Last Updated: Aug 29, 2012

Practice Location

Address: 200 SOUTH NINTH ST
City: Depere
State: Wisconsin
ZIP Code: 54115
Phone: (920) 338-4145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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