Individual
NORMAN BAMBENEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1702 S RIVER RD, JANESVILLE, WI 53546-5648
(608) 756-0344
Mailing address
6210 WINTERGREEN DR, WISCONSIN RAPIDS, WI 54494-9046
(715) 323-2105
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4126-19
WI
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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