Alise Shore

NPI #1851365761 in Stanley, Wisconsin

Provider Information

NPI Number: 1851365761
Entity Type: Individual
Name: Alise Shore
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Feb 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1120 PINE ST
City: Stanley
State: Wisconsin
ZIP Code: 54768-0220
Phone: (715) 644-6181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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