Individual
MR. DENNIS LEE BOSTWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
118 MONROE ST, BEAVER DAM, WI 53916-2437
(920) 887-1001
(920) 887-2151
Mailing address
118 MONROE ST, BEAVER DAM, WI 53916-2437
(920) 887-1001
(920) 887-2151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1662-024
WI
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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