Individual
MRS. BETTY JEAN PRINGLE-BURKHALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1320 WISCONSIN AVE, RACINE, WI 53403-1978
(262) 687-2640
(262) 634-3358
Mailing address
10215 81ST ST, PLEASANT PRAIRIE, WI 53158-2027
(262) 697-7958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3104
CO
225100000X
Physical Therapist
Primary
6274-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40471700
—
WI
Enumeration date
04/13/2007
Last updated
11/26/2012
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