Individual
ASHLEY BANGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
201 GATEWAY DR STE 300, BEAVER DAM, WI 53916-9176
(920) 356-0122
(920) 356-0470
Mailing address
201 GATEWAY DR STE 300, BEAVER DAM, WI 53916-9176
(920) 356-0122
(920) 356-0470
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13354-024
WI
Other
Enumeration date
05/31/2016
Last updated
02/06/2019
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