Individual
DOUBARA STUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
803 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3029
(920) 887-4039
Mailing address
803 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3029
(920) 887-4039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13145-24
WI
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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