Individual
MRS. DEBORA LEE NEVERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
824 B EAST GENEVA STREET, DELAVAN, WI 53115
(262) 728-5918
Mailing address
W5583 WOODLAND LN, WHITEWATER, WI 53190-4051
(262) 495-8787
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9567 - 024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40449900
—
WI
Enumeration date
05/22/2007
Last updated
07/08/2007
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