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KATHRYN ANN FREESE PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1477843258

Individual Registrant:
 KATHRYN ANN FREESE PTA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
7456 MAIN ST W  WEBSTER, WI 54893-8205 US
Tel: 715-866-4271  Fax: 715-866-4284

Contact information for business:
235 E STATE ST  SAINT CROIX FALLS, WI 54024-4117 US
Tel: 715-483-3221  Fax: 715-483-0507

Registration Information:
NPI: 1477843258
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
WI65-19

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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