Individual
STACY RAAFLAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8274 E SAN RD, SOUTH RANGE, WI 54874-8621
(715) 398-3523
Mailing address
8274 E SAN RD, SOUTH RANGE, WI 54874-8621
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1096-19
WI
225200000X
Physical Therapy Assistant
A851
MN
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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