Individual
COURTNEY WACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4602 EASTPARK BLVD., FIRST FLOOR REHAB MAIL CODE AC10, MADISON, WI 53718
(608) 440-6440
Mailing address
318 HUNTSVILLE RDG, SUN PRAIRIE, WI 53590-4209
(414) 241-7674
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10680
WI
Other
Enumeration date
11/13/2014
Last updated
04/08/2021
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