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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972612729 | NPPES |
| Wisconsin | MEDICAID | 40454000 |
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