Jean M Straka, PTA

NPI #1467601260 in Boscobel, Wisconsin

Provider Information

NPI Number: 1467601260
Entity Type: Individual
Name: Jean M Straka, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 17, 2008
Last Updated: Sep 17, 2008

Practice Location

Address: 205 PARKER ST
City: Boscobel
State: Wisconsin
ZIP Code: 53805-1642
Phone: (608) 375-4112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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