Individual
ALYSSA BETANCES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-1067
Mailing address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-1067
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13569-24
WI
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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