Individual
HALEY OOSTERHOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
922 CLOVER LN, DEFOREST, WI 53532-3029
(608) 669-5694
Mailing address
922 CLOVER LN, DEFOREST, WI 53532-3029
(608) 669-5694
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
160007674
IL
225200000X
Physical Therapy Assistant
Primary
2311-19
WI
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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