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Individual

SHEILA MAE GITCHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1905 5TH ST, MONROE, WI 53566-1545
(608) 329-6601
Mailing address
1253 9TH ST, BELOIT, WI 53511
(608) 363-3810

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1342-019
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41811200
WI
Enumeration date
05/15/2007
Last updated
07/08/2007
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