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Individual

MR. HERBERT SCOTT ROYCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
121 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 261-9220
Mailing address
121 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 261-9220

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2083-19
WI

Other

Enumeration date
01/12/2015
Last updated
01/12/2015
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