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Individual

KATIE DEPEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
200 S 9TH ST, DE PERE, WI 54115-1393
(920) 336-5680
Mailing address
3655 BUYARSKI RD, GREEN BAY, WI 54311-9453
(920) 680-8697

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11284-24
WI

Other

Enumeration date
09/13/2010
Last updated
09/13/2010
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