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Mrs. SAMANTHA LYN FETTERER -- PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1740492404
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
2629 N 7TH ST, SHEBOYGAN, WI, 530834932
Phone
(920) 451-5550
Fax
(920) 451-5664

Specialties & Taxonomies

Physical Therapy Assistant Primary License: WI #74-019

All Addresses

MAILING

2120 BROADWAY AVENUE

SHEBOYGAN, WI, 53081

(920) 803-8316

LOCATION

2629 N 7TH ST

SHEBOYGAN, WI, 530834932

(920) 451-5550