Individual
MRS. BETH ANN EARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
620 HARPER AVE, WHISPERING OAKS CARE CENTER, PESTIGO, WI 54157
(715) 582-4148
Mailing address
7540 N 19TH AVE, SUITE 200, PHOENIX, AZ 85021
(888) 873-4221
(888) 543-2289
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
249019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40212600
—
WI
Enumeration date
09/27/2007
Last updated
09/27/2007
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