Individual
BROOKE NICOLE KOPACZ TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1100 BERGSLIEN ST, BALDWIN, WI 54002-2600
(715) 684-1505
Mailing address
535 HUNTER HILL RD, HUDSON, WI 54016-1866
(715) 977-1844
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
16439-24
WI
Other
Enumeration date
08/28/2023
Last updated
01/18/2024
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