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Individual

MISS AUDREY KOLLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
106 S HOLMEN DR, SUITE 2, HOLMEN, WI 54636-9467
(608) 526-9888
Mailing address
123 10TH AVE S, ONALASKA, WI 54650-3069
(608) 764-0009

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2206
WI

Other

Enumeration date
08/11/2016
Last updated
08/11/2016
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