Wilcox, Marlene

Wilcox, Marlene is an individual health care provider with primary practice located at 3402 Howland Ave Suite 100, Weston WI 54476-5633. 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. Wilcox, Marlene can be contacted via phone (715) 355-5701.

Contact Information

Primary practice address
3402 Howland Ave Suite 100 Weston WI 54476-5633
Phone: (715) 355-5701
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 33-019 Wisconsin

Profile Details

NPI number 1972612729
LBN Legal business name Wilcox, Marlene
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 8th, 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 1972612729 NPPES
Wisconsin MEDICAID 40454000

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