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1568027977
SCOTT STREET
BURLINGTON, WI
NPI
1568027977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 2533-99)
Enumeration Date
2019-05-01
Last Update Date
2019-05-01
Business Address
SCOTT STREET PTA
677 E STATE ST
BURLINGTON, WI 53105-1639
Phone number: 262-763-9531
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Mailing Address
SCOTT STREET PTA
5614 E PENINSULA RD
WATERFORD, WI 53185-2964
Phone number:
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