Individual
BETTY HOPPERDIETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1173 RIVERBEND DR, HARTFORD, WI 53027-8605
(251) 545-2283
Mailing address
1173 RIVERBEND DR, HARTFORD, WI 53027-8605
(251) 545-2283
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2111
WI
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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