Individual
ERIC KOEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
2067-19
Contact information
Practice address
26656 EVERGREEN LN, RICHLAND CENTER, WI 53581-8724
(608) 647-2844
Mailing address
26656 EVERGREEN LN, RICHLAND CENTER, WI 53581-8724
(608) 647-2844
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2067-19
WI
225200000X
Physical Therapy Assistant
PTA-3330
ID
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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