Individual
MRS. BRENDA MARIE RONGSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
531 E WASHINGTON ST, WEST BEND, WI 53095-2531
(262) 335-4532
Mailing address
4820 HWY E, SLINGER, WI 53086-9132
(262) 644-2285
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
294-019
WI
Other
Enumeration date
12/30/2010
Last updated
12/30/2010
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