Individual
MARY SPATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2810 SOUTH ACREDALE ROAD, NEW BERLIN, WI 53151
(262) 439-8374
Mailing address
2810 SOUTH ACREDALE ROAD, NEW BERLIN, WI 53151
(262) 439-8374
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
396-19
WI
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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