Individual
EMILY JO BAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
750 EAST LOUSIANA ST, ST. CROIX FALLS, WI 54204
(715) 483-2713
(715) 483-2725
Mailing address
750 EAST LOUSIANA ST, ST. CROIX FALLS, WI 54204
(715) 483-2713
(715) 483-2725
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1989-19
WI
225200000X
Physical Therapy Assistant
A1421
MN
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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