Individual
DANYEL SPEICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 1/2 5TH ST, MONROE, WI 53566-1545
(608) 329-6601
Mailing address
313 STOUGHTON RD, EDGERTON, WI 53534-1132
(608) 884-1330
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1675-19
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285947069
—
WI
Enumeration date
07/21/2010
Last updated
11/07/2012
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