Individual
MR. GERARD CAOILE ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
911 3RD ST W, ASHLAND, WI 54806-1311
(715) 682-8172
(715) 682-6662
Mailing address
911 3RD ST W, ASHLAND, WI 54806-1311
(715) 682-8172
(715) 682-6662
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
261QP2000X
WI
Other
Enumeration date
08/11/2013
Last updated
08/11/2013
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