Individual
DARA LEDBETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2600 KILEY WAY, PLYMOUTH, WI 53073-5020
(920) 449-7000
(920) 449-7201
Mailing address
2629 N 7TH ST, SHEBOYGAN, WI 53083-4932
(262) 285-3013
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
583-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40451600
—
WI
Enumeration date
04/25/2007
Last updated
10/07/2009
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