Betty Marie Spear PTA

NPI 1013134105 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1013134105
Gender Female
Enumeration Date 04/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2801 S WEBSTER AVE
GREEN BAY WI, 54301-2878, US
Phone (920) 403-7665
Fax (920) 337-1126
Business Location
2801 S WEBSTER AVE
GREEN BAY WI, 54301-2878, US
Phone (920) 403-7665
Fax (920) 337-1126
Toxanomy
Taxonomy Code 225200000X
License State Wisconsin
License Number 104019
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According to our database, Betty Marie Spear PTA NPI is 1013134105, taxonomy code is 225200000X and license number is 104019, license state is located at Wisconsin. Betty Marie Spear PTA physically located at 2801 S Webster Ave, Green Bay WI, 54301-2878. NPI Number Betty Marie Spear PTA has the Individual type.

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1013134105 NPI number is provided on an as is basis without warranty of any kind. 1013134105 is maintained by the National Plan & Provider Enumeration System. The contents of Betty Marie Spear PTA are for informational purposes only.