Individual
MRS. DEBRA J BEDNAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
830B E GENEVA ST, DELAVAN, WI 53115-1932
(262) 728-9164
Mailing address
510 MORNINGSIDE ST, ELKHORN, WI 53121-4503
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10109-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36144500
—
WI
Enumeration date
11/07/2007
Last updated
11/15/2007
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