ADAM ALTENBURG

BEAVER DAM, WI
NPI1205437340
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  3012-19)
Enumeration Date2020-11-05
Last Update Date2020-11-05
Business Address
Mr. ADAM ALTENBURG
104 FAKES CT
BEAVER DAM, WI 53916-2699
Phone number: 920-356-9818
Mailing Address
Mr. ADAM ALTENBURG
104 FAKES CT
BEAVER DAM, WI 53916-2699
Phone number: 920-356-9818
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