Individual
DARLA FEYEREISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 E OAK ST, GLENWOOD CITY, WI 54013-8520
(715) 265-4555
Mailing address
535 JOHNSON PKWY, HAMMOND, WI 54015-9677
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1010019
WI
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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