NPI 1043482714

Roxanne Eliason, PTA

Practitioner Physical Therapy Assistant Green Bay, WI

Practice location

Address: 600 S Webster Ave, Green Bay, WI 54301-3503
Phone: (920) 432-3213

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1121-19 (WI)

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Registry record

NPI: 1043482714
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Apr 2008
Record last updated: 17 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.