Individual
MAGGIE ROSEANN ROTTINGHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1970 NAVAJO ST, RHINELANDER, WI 54501
(715) 420-0728
Mailing address
N11161 NIBLER RD, TOMAHAWK, WI 54487-8329
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005114
IA
225200000X
Physical Therapy Assistant
2115410
TX
225200000X
Physical Therapy Assistant
2495-19
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225489495
—
WI
Enumeration date
06/28/2016
Last updated
07/02/2018
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