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1003121294
REBECCA M STAUT
WISCONSIN RAPIDS, WI
NPI
1003121294
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: 1691-019)
Enumeration Date
2010-08-11
Last Update Date
2010-08-11
Business Address
-- REBECCA M STAUT PTA
3541 PLOVER RD
WISCONSIN RAPIDS, WI 54494-2155
Phone number: 715-423-5423
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Mailing Address
-- REBECCA M STAUT PTA
3541 PLOVER RD
WISCONSIN RAPIDS, WI 54494-2155
Phone number: 715-423-5423
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