Individual
TABITHA LYNN PRALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
E8521 COUNTY HIGHWAY M, READSTOWN, WI 54652-8025
(608) 632-4479
Mailing address
E8521 COUNTY HIGHWAY M, READSTOWN, WI 54652-8025
(608) 632-4479
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2942-19
WI
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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