Individual
BEAU BELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 W MOHAWK DR, TOMAHAWK, WI 54487-2215
(715) 453-7600
Mailing address
225 THEILER DR, TOMAHAWK, WI 54487-1733
(715) 216-2896
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1993-19
WI
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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