Individual
MISS TAMMY LYNN BAYERL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
620 HARPER AVE, PESHTIGO, WI 54157-1134
(715) 582-4148
Mailing address
2301 W WINTERGREEN DR, APPLETON, WI 54914-1947
(920) 730-0702
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1112-019
WI
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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