Individual
MISS BRITTANY JEAN TAERUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
316 N MILWAUKEE ST, SUITE 208, MILWAUKEE, WI 53202-5885
(888) 389-9030
(888) 389-9031
Mailing address
335 LAVERNE DR, APT #2, GREEN BAY, WI 54311-4721
(920) 373-8868
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1929-19
WI
Other
Enumeration date
02/18/2013
Last updated
02/18/2013
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