MRS. Samantha Lyn Fetterer, PTA

NPI #1740492404 in Sheboygan, Wisconsin

Provider Information

NPI Number: 1740492404
Entity Type: Individual
Name: MRS. Samantha Lyn Fetterer, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 4, 2007
Last Updated: Oct 30, 2007

Practice Location

Address: 2629 N 7TH ST
City: Sheboygan
State: Wisconsin
ZIP Code: 53083-4932
Phone: (920) 451-5550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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