STEVEN HARRY CORONADO

MAUSTON, WI
NPI1063948636
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  2621-19)
Enumeration Date2017-05-02
Last Update Date2017-05-02
Business Address
-- STEVEN HARRY CORONADO PTA
610 MCEVOY ST
MAUSTON, WI 53948-1438
Phone number: 608-847-5100
Mailing Address
-- STEVEN HARRY CORONADO PTA
610 MCEVOY ST
MAUSTON, WI 53948-1438
Phone number: 608-847-5100