Individual
GER MOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
W2940 OLD COUNTY ROAD PP, SHEBOYGAN FALLS, WI 53085-2528
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12110-24
WI
Other
Enumeration date
05/14/2013
Last updated
12/28/2021
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