Scott Street, PTA

NPI #1568027977 in Burlington, Wisconsin

Provider Information

NPI Number
1568027977
Entity Type
Individual
Name
Scott Street, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
May 1, 2019
Last Updated
May 1, 2019

Practice Location

Address
677 E STATE ST
ZIP Code
53105-1639
Phone
(262) 763-9531

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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