Individual
TIFFANY BOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2725 S MOORLAND RD STE 301, NEW BERLIN, WI 53151-3720
(414) 329-2500
Mailing address
8505 257TH ST, CADOTT, WI 54727-4512
(715) 703-0348
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2125-19
WI
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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