MISS Audrey Koller, PTA

NPI #1497209001 in Holmen, Wisconsin

Provider Information

NPI Number: 1497209001
Entity Type: Individual
Name: MISS Audrey Koller, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 11, 2016
Last Updated: Aug 11, 2016

Practice Location

Address: 106 S HOLMEN DR
Address 2: SUITE 2
City: Holmen
State: Wisconsin
ZIP Code: 54636-9467
Phone: (608) 526-9888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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