EVAN VELDT

BLACK CREEK, WI
NPI1558518944
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1270-19)
Enumeration Date2008-08-27
Last Update Date2008-08-27
Business Address
-- EVAN VELDT PTA
506 N CLARK ST
BLACK CREEK, WI 54106-9720
Phone number: 920-265-4477
Mailing Address
-- EVAN VELDT PTA
506 N CLARK ST
BLACK CREEK, WI 54106-9720
Phone number: