Individual
EDDIE DRAGOVOJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-7045
(262) 948-7331
Mailing address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-7045
(262) 948-7331
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
166319
WI
Other
Enumeration date
12/28/2010
Last updated
12/28/2010
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