Individual
BARBARA ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1145 W. MAIN AVE, SUITE 205, DEPERE, WI 54115
(920) 336-6650
Mailing address
931 E. FLORIDA AVENUE, APPLETON, WI 54911
(920) 993-7936
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6272-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40322300
—
WI
Enumeration date
04/28/2008
Last updated
04/28/2008
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