Individual
ELIZABETH ANNE EASTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
650 CENTENNIAL CENTRE BLVD, HOBART, WI 54155-8989
(920) 544-5041
Mailing address
595 PEBBLESTONE CIR, HOBART, WI 54155-9386
(252) 571-5696
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3302-19
WI
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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