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Individual

REBECCA ANN STEFFENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
9969 OLD HIGHWAY 70, MINOCQUA, WI 54548-9010
(715) 356-6016
Mailing address
9969 OLD HIGHWAY 70, MINOCQUA, WI 54548-9010

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2709-19
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2704-19
STATE LICENSE
WI
Enumeration date
10/30/2017
Last updated
10/30/2017
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