Individual
SARA BASHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
199 HOME RD, JUNEAU, WI 53039
(920) 386-3400
Mailing address
199 HOME RD, JUNEAU, WI 53039-1401
(920) 386-3400
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2391
WI
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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