Individual
BRETT VANVLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2217 DUNCAN RD, BLOOMER, WI 54724-1214
(715) 568-9770
Mailing address
4835 SOUTHRIDGE CT APT 5, EAU CLAIRE, WI 54701-9377
(715) 209-5201
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4108
WI
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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