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Individual

JAMES PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1402 MAIN ST, BLOOMER, WI 54724-1637
(715) 568-4669
Mailing address
13770 110TH ST, BLOOMER, WI 54724-9347
(715) 568-4667

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3837-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40162900
WI
Enumeration date
05/16/2007
Last updated
07/08/2007
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