Individual
MRS. BRENDA JO GERLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1010 E WAUSAU AVE, WAUSAU, WI 54403-3101
(715) 842-2028
Mailing address
1010 E WAUSAU AVE, WAUSAU, WI 54403-3101
(715) 842-2028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4992024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40284100
—
WI
Enumeration date
07/08/2008
Last updated
07/08/2008
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