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MARGARET GOTHER PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1699856609

Individual Registrant:
 MARGARET  GOTHER PT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
8201 MISH KO SWEN DR  CRANDON, WI 54520-8631 US
Tel: 715-478-4300  Fax: --

Contact information for business:
8201 MISH KO SWEN DR  CRANDON, WI 54520-8631 US
Tel: 715-478-4300  Fax: --

Registration Information:
NPI: 1699856609
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
WI3102-024

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
40122200WI05




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