Individual
TERA DUCOMMUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1405 TRUAX BLVD, EAU CLAIRE, WI 54703-1474
(715) 552-1030
Mailing address
22 27TH ST, NEW AUBURN, WI 54757-8787
(715) 205-8746
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
3333-19
WI
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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