Individual
MS. ALICIA HARTUNG DUERST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
27477 HIGHWAY 64, SUITE C, CORNELL, WI 54732-5222
(715) 239-0555
(715) 239-0556
Mailing address
E4572 461ST AVE, MENOMONIE, WI 54751-5457
(715) 308-0332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12043-24
WI
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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