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Individual

BILLY BRUGGINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, ATC

Contact information

Practice address
11430 N PORT WASHINGTON RD, MEQUON, WI 53092-3414
(262) 518-1900
Mailing address
11430 N PORT WASHINGTON RD, MEQUON, WI 53092-3414
(262) 518-1900

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14604-24
WI
2255A2300X
Athletic Trainer

Other

Enumeration date
05/05/2015
Last updated
11/01/2021
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