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Search › Wisconsin › 225200000X

Lydel Gerondale, PTA

NPI 1538668405 · on the registry since 2018

Practice

Address
2305 San Luis Pl
Green Bay, WI 54304
Phone
(920) 494-5231
Organisation at this address
Kindred Inc
Kindred Inc
Kindred Inc
San Luis Health Care Llc
San Luis Medical & Rehab
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-02-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin