MRS. Betsy M Soukup, PTA

NPI #1376699314 in Winnebago, Wisconsin

Provider Information

NPI Number: 1376699314
Entity Type: Individual
Name: MRS. Betsy M Soukup, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 25, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 725 BUTLER AVENUE
City: Winnebago
State: Wisconsin
ZIP Code: 54985-0010
Phone: (920) 235-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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