Individual
EDWARD ROTHBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2639 NEW PINERY RD, SUITE 2, PORTAGE, WI 53901-1110
(608) 742-9356
(608) 742-9358
Mailing address
2639 NEW PINERY RD, SUITE 2, PORTAGE, WI 53901-1110
(608) 742-9356
(608) 742-9358
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11435-24
WI
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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