Individual
STACY L BELLOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2650 65TH AVE, OSCELOA, WI 54020
(715) 294-1100
Mailing address
2650 65TH AVE, OSCEOLA, WI 54020
(715) 294-1100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3180-19
WI
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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