Individual
TERESA DENISE BARE-INMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 26TH ST, PRAIRIE DU SAC, WI 53578-2203
(608) 643-3311
Mailing address
260 26TH ST, PRAIRIE DU SAC, WI 53578-2203
(608) 643-3311
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1952-19
WI
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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