Individual
MASON FROEBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2100 E 6TH ST, MERRILL, WI 54452-3107
(715) 255-3013
Mailing address
500 W ELM DR, LOYAL, WI 54446-9517
(715) 255-3013
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2817-19
WI
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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