Individual
MRS. PATRICIA A ENTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, DRL LICENSE
Contact information
Practice address
628 W POWELL RD, PARK FALLS, WI 54552-6215
(715) 476-9181
Mailing address
628 W POWELL RD, PARK FALLS, WI 54552-6215
(715) 476-9181
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1273 DRL
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42589200
—
WI
Enumeration date
04/03/2008
Last updated
04/03/2008
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