Individual
ISAAC I WOUTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
814 JACKSON ST, STOUGHTON, WI 53589-1520
(608) 873-6448
(608) 646-0497
Mailing address
814 JACKSON ST, STOUGHTON, WI 53589-1520
(608) 873-6448
(608) 646-0497
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12517-24
WI
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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