Individual
ALLEN DANIEL ELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
819 ASH ST, SPOONER, WI 54801-1201
(715) 635-3466
Mailing address
510 E SOUTH ST APT 2, RICE LAKE, WI 54868-4010
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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