Individual
ANGELA M BAETEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3654 US HIGHWAY 141, ABRAMS, WI 54101-9743
(920) 826-7651
Mailing address
3654 US HIGHWAY 141, ABRAMS, WI 54101-9743
(920) 826-7651
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3265
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40112200
—
WI
Enumeration date
09/26/2007
Last updated
09/26/2007
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