Individual
BETH J BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1507 W KNAPP ST, RICE LAKE, WI 54868-1383
(877) 823-0508
(866) 245-8064
Mailing address
PO BOX 3497, STURTEVANT, WI 53177-0300
(888) 201-1040
(866) 245-8064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2708 - 24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPR
—
WI
Enumeration date
08/05/2006
Last updated
05/23/2013
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