Individual
REBECCA A MAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 W DOLF ST, COLBY, WI 54421-9604
(715) 223-2352
Mailing address
625 N SEMROW RD, COLOMA, WI 54930-9657
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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