Individual
MS. BETH ANN POUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
2294 PIONEER DR, BELOIT, WI 53511-2547
(608) 365-2308
Mailing address
2294 PIONEER DR, BELOIT, WI 53511-2547
(608) 365-2308
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
331-039
WI
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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