MARK TISDALE, PTA

PTA

Physical Therapy Assistant

NPI: 1154626745Individual

Specialties, Licenses & Credentials

Physical Therapy AssistantPrimary

Physical Therapy Assistant

Code: 225200000X

897-019(WI)

Contact & Hours

Address: 10400 75TH STREET
KENOSHA, WI 53142
Phone: (262) 948-7045

Quick Facts

NPI: 1154626745
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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