Wankowski, Robin Marie

Wankowski, Robin Marie is an individual health care provider with primary practice located at 305 S Clark St , Mayville WI 53050-1488. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Wankowski, Robin Marie can be contacted via phone (920) 387-1370.

Contact Information

Primary practice address
305 S Clark St Mayville WI 53050-1488
Phone: (920) 387-1370
Fax: (920) 387-2429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 358-019 Wisconsin

Profile Details

NPI number 1134332679
LBN Legal business name Wankowski, Robin Marie
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134332679 NPPES
Wisconsin MEDICAID 60087900

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