Steven Harry Coronado, PTA

NPI #1063948636 in Mauston, Wisconsin

Provider Information

NPI Number: 1063948636
Entity Type: Individual
Name: Steven Harry Coronado, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 2, 2017
Last Updated: May 2, 2017

Practice Location

Address: 610 MCEVOY ST
City: Mauston
State: Wisconsin
ZIP Code: 53948-1438
Phone: (608) 847-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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