Individual
MYRIAH RAE RAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 W PROSPECT ST, THORP, WI 54771-9303
(715) 669-5321
Mailing address
W4285 JENE RD, EAU CLAIRE, WI 54701-8991
(715) 456-9998
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3103-19
WI
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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