Individual
REBECCA DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
855 S MAIN ST, OCONTO FALLS, WI 54154-1241
(920) 846-3444
(920) 846-4244
Mailing address
855 S MAIN ST, OCONTO FALLS, WI 54154-1241
(920) 846-3444
(920) 846-4244
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
232-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232-019
LICENCE NUMBER
WI
Enumeration date
06/03/2008
Last updated
06/03/2008
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