Individual
DENISE RAE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
400 N MORRIS ST, STOUGHTON, WI 53589-1857
(608) 873-5651
Mailing address
400 N MORRIS ST, STOUGHTON, WI 53589-1857
(608) 873-5651
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2173-19
WI
Other
Enumeration date
06/14/2015
Last updated
06/14/2015
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