Individual
COURTNEY A STUEBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
500 GRANT AVE, OMRO, WI 54963-1342
(920) 859-0269
Mailing address
3300 E PARIS WAY APT 4, APPLETON, WI 54913-8307
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1357-19
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376805879
—
WI
Enumeration date
06/11/2012
Last updated
03/15/2013
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