Individual
STEVEN HARRY CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
610 MCEVOY ST, MAUSTON, WI 53948-1438
(608) 847-5100
(608) 847-5110
Mailing address
610 MCEVOY ST, MAUSTON, WI 53948-1438
(608) 847-5100
(608) 847-5110
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2621-19
WI
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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