Individual
MARY THERESE BILLERBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
414 WILLIAM ST, RACINE, WI 53402-4262
(262) 497-9147
Mailing address
414 WILLIAM ST, RACINE, WI 53402-4262
(262) 497-9147
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
2882-24
WI
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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