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1720772072
BRAD SEVERSON
LA CROSSE, WI
NPI
1720772072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 12256)
Enumeration Date
2023-06-07
Last Update Date
2023-06-07
Business Address
Mr. BRAD SEVERSON PTA
1836 SOUTH AVENUE
LA CROSSE, WI 54601
Phone number: 608-782-7300
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Mailing Address
Mr. BRAD SEVERSON PTA
1836 SOUTH AVENUE
LA CROSSE, WI 54601
Phone number: 608-782-7300
Copy
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