Individual
DENNIS FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 DAVIS ST, HAMMOND, WI 54015-9615
(715) 796-2218
(715) 796-5286
Mailing address
425 DAVIS ST, HAMMOND, WI 54015-9615
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1431-019
WI
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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