Individual
JOELLE RAE BITTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
200 S 9TH ST, DE PERE, WI 54115-1393
(920) 336-5680
(920) 336-5882
Mailing address
200 S 9TH ST, DE PERE, WI 54115-1393
(920) 336-5680
(920) 336-5882
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1135-019
WI
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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