Individual
BOYANA B MERCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
710 WILLOW ST, PESHTIGO, WI 54157-9200
(715) 582-1044
(715) 582-0803
Mailing address
701 WILLOW ST, PESHTIGO, WI 54157-9200
(715) 582-0144
(715) 582-0803
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2079
WI
Other
Enumeration date
05/26/2016
Last updated
06/06/2016
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