Individual
BARBARA ANN PROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
W237S7855 WESTWOOD DR, BIG BEND, WI 53103-9407
(262) 662-2105
Mailing address
W237S7855 WESTWOOD DR, BIG BEND, WI 53103-9407
(262) 662-2105
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
872019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40072500
—
WI
Enumeration date
06/27/2008
Last updated
06/27/2008
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