Individual
MRS. DEBORAH SUE CUPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
417 3RD AVE., CLEAR LAKE, WI 54005
(715) 263-4103
(866) 245-8064
Mailing address
PO BOX 3497, STURTEVANT, WI 53177-0300
(888) 201-1040
(866) 245-8064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11300-024
WI
225100000X
Physical Therapist
8047
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689855355
—
WI
Enumeration date
11/21/2007
Last updated
11/09/2012
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