Individual
MISS THERA ANN ROSSMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
677 E STATE ST, BURLINGTON, WI 53105-1639
(262) 325-8582
Mailing address
677 E STATE ST, BURLINGTON, WI 53105-1639
(262) 763-9531
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2775-019
WI
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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