Individual
MAXWELL JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
354 N MAIN ST, OREGON, WI 53575-1426
(608) 835-3535
Mailing address
354 N MAIN ST, OREGON, WI 53575-1426
(608) 835-3535
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2119-13
WI
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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