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Physical Therapist

NPI: 1619387073IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical Therapist

Code: 225100000X

12317-24(WI)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2013

Contact & Hours

Via practice · 2 locations total

Address
3901 STEWART AVE
WAUSAU, WI 54401

Quick Facts

NPI
1619387073
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
2
Years in Practice
13

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