Individual
DARRIN ALAN DREGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3634 VERMONT ST, RACINE, WI 53406-1164
(262) 203-0686
Mailing address
3634 VERMONT ST, RACINE, WI 53406-1164
(262) 203-0686
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2352-19
WI
Other
Enumeration date
03/03/2019
Last updated
03/03/2019
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