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Individual

ALYSSA MAE TAUBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
517 E DIVISION ST, FOND DU LAC, WI 54935-3735
(920) 921-6800
Mailing address
517 E DIVISION ST, FOND DU LAC, WI 54935-3735
(920) 921-6800

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2969
WI

Other

Enumeration date
10/14/2019
Last updated
10/14/2019
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