Individual
MS. ANNETTE M HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
725 BUTLER AVE, PARKVIEW HEALTH CARE CENTER, WINNEBAGO, WI 54985-0010
(920) 235-5100
Mailing address
603 N NASH ST, HORTONVILLE, WI 54944
(920) 779-0285
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1566 024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401653
—
WI
Enumeration date
05/08/2007
Last updated
07/08/2007
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