Individual
MRS. BRENDA ELAINE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
W5585 OAK HILL RD, TREGO, WI 54888-9422
(218) 260-0306
Mailing address
W5585 OAK HILL RD, TREGO, WI 54888-9422
(218) 260-0306
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/16/2007
Last updated
08/07/2013
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