Individual
BRIDGET LYNN SODERBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
701 WILLOW ST, PESHTIGO, WI 54157-1165
(715) 582-3962
(715) 582-0803
Mailing address
11297 TOM POST LN, POUND, WI 54161-8753
(920) 590-0092
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1716
WI
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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