Individual
BETHANY KITOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2401 PLOVER RD, PLOVER, WI 54467-3916
(715) 295-3950
Mailing address
2401 PLOVER RD, PLOVER, WI 54467-3916
(715) 295-3950
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4069-19
WI
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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