Individual
MARGARET GOTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8201 MISH KO SWEN DR, CRANDON, WI 54520-8631
(715) 478-4300
Mailing address
8201 MISH KO SWEN DR, CRANDON, WI 54520-8631
(715) 478-4300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3102-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40122200
—
WI
Enumeration date
10/17/2006
Last updated
09/15/2015
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