Individual
DIPTI BHALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
465 W LEATHER AVE APT 5, TOMAHAWK, WI 54487-2270
(405) 714-0919
Mailing address
38 S MAIN ST, APT A, SUGAR GROVE, IL 60554-5031
(630) 466-5866
(630) 466-5869
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12236-24
WI
Other
Enumeration date
03/09/2015
Last updated
06/01/2021
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