Individual
ADAM BETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10460 W INNOVATION DR STE 102, WAUWATOSA, WI 53226-4881
(414) 563-1230
Mailing address
7435 GLACIER DR, WEST BEND, WI 53090-9358
(262) 388-6690
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4005
WI
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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