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Individual

ANNA RUTH PERKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
600 HIGHLAND AVE, COMPLIANCE MC 2433, MADISON, WI 53792-0001
(608) 662-0817
Mailing address
600 HIGHLAND AVE, COMPLIANCE MC 2433, MADISON, WI 53792-0001
(608) 662-0817

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11045026
WI
225100000X
Physical Therapist
2371 (TEMP LICENSE)
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11045026
PHYSICAL THERAPIST
WI
01
834K4WY
BCBS OF MN
MN
Enumeration date
07/30/2007
Last updated
07/17/2008
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