Individual
MS. CONSTANCE M. CLAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1401 CHURCHILL ST, WAUPACA, WI 54981-2027
(715) 258-8131
(715) 258-0179
Mailing address
9532 PACKER AVE, AMHERST, WI 54406-9124
(715) 824-2863
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
19-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40193500
—
WI
Enumeration date
05/03/2007
Last updated
07/08/2007
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