Individual
DALE ROBERT WHITBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 TOWER AVE, SUPERIOR, WI 54880-5335
(715) 395-5454
Mailing address
3500 TOWER AVE, SUPERIOR, WI 54880-5335
(715) 395-5454
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3408-024
WI
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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