Individual
GINA PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1414 JEFFERSON ST, BARABOO, WI 53913-1503
(608) 356-8532
(608) 355-3333
Mailing address
1414 JEFFERSON ST, BARABOO, WI 53913-1503
(608) 356-8532
(608) 355-3333
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
744-19
WI
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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