Gowa Tundup Lama
Gowa Tundup Lama is a Physical Therapy Assistant in Manitowoc, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2022
Practice location Address checks out
1635 S 21st StManitowoc, WI 54220-6380
Phone: (920) 684-7171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 3101 (WI) |
|---|
Record details
| NPI number | 1205568763 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 24, 2022 |
| Last updated in NPPES | June 24, 2022 |
| Certification date | June 24, 2022 |
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