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Individual

MARY JO BUTLER LEVENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
W332N6219 COUNTY ROAD C, NASHOTAH, WI 53058-9435
(262) 853-8073
Mailing address
W332N6219 COUNTY ROAD C, NASHOTAH, WI 53058-9435
(262) 853-8073

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2650
WI

Other

Enumeration date
07/19/2018
Last updated
07/19/2018
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