Individual
MS. BERLY TEIGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
317 KNUTSON DR, MADISON, WI 53704-1133
(608) 301-9387
Mailing address
317 KNUTSON DR, MADISON, WI 53704-1133
(608) 301-9387
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
609-019
WI
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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