Individual
JOHANNA ROSE POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 4TH AVE, STEVENS POINT, WI 54481-1910
(262) 689-0073
Mailing address
2050 4TH AVE, STEVENS POINT, WI 54481-1910
(262) 689-0073
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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