SCOTT STREET

BURLINGTON, WI
NPI1568027977
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  2533-99)
Enumeration Date2019-05-01
Last Update Date2019-05-01
Business Address
SCOTT STREET PTA
677 E STATE ST
BURLINGTON, WI 53105-1639
Phone number: 262-763-9531
Mailing Address
SCOTT STREET PTA
5614 E PENINSULA RD
WATERFORD, WI 53185-2964
Phone number: