Individual
MS. NICOLE BEAUPREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2305 SAN LUIS PL, GREEN BAY, WI 54304-5211
(920) 494-5231
(920) 494-2855
Mailing address
2305 SAN LUIS PL, GREEN BAY, WI 54304-5211
(920) 494-5231
(920) 494-2855
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1459-19
WI
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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