Individual
ALEX WILLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 BYRD AVE, NEENAH, WI 54956-4015
(920) 725-2714
Mailing address
1038 BABCOCK ST, NEENAH, WI 54956-3680
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2189-19
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1668
—
WI
Enumeration date
01/18/2015
Last updated
10/18/2021
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