Samuel Mbaki Moke
Samuel Mbaki Moke is a Physical Therapy Assistant in De Pere, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2023
Practice location Address checks out
250 S 9th StDe Pere, WI 54115-3919
Phone: (715) 582-2247
Fax: (920) 983-5174
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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 4122-19 (WI) |
|---|
Record details
| NPI number | 1629841721 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 1, 2023 |
| Last updated in NPPES | November 1, 2023 |
| Certification date | November 1, 2023 |
| Mailing address | 119 N Jackson St, Green Bay, WI 54301-4934 |
Other providers in De Pere
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Christina Lapalm
200 S 9th St, De Pere, WI 54115-1393 · (920) 336-5680
-
Tracy Lynn Legg, PTA
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Daniel M Lieuwen
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Jason Scott Linssen, PTA
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-
Mrs. Ewa Maria Narkiewicz-Jodko, PTA
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-
Mrs. Kelly Michelle Norman, PTA
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Jena Rahmlow
200 S 9th St, De Pere, WI 54115-1393 · (920) 336-5680
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Brandon Schaenzer
200 S 9th St, De Pere, WI 54115-1393 · (920) 336-5680