Individual
KIMBERLY B FORTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
403 E PARKINSON ST APT 2, VIROQUA, WI 54665-1483
(608) 792-1185
Mailing address
403 E PARKINSON ST APT 2, VIROQUA, WI 54665-1483
(608) 792-1185
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3279-19
WI
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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