Individual
MRS. STACEY DREW-REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
101 SUNSHINE BLVD, SOLDIERS GROVE, WI 54655-7106
(608) 624-5244
(608) 624-3478
Mailing address
101 SUNSHINE BLVD, SOLDIERS GROVE, WI 54655-7106
(608) 624-5244
(608) 624-3478
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
12979-24
WI
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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