Female

Barbara A. Prosen PTA

Physical Therapy Assistant in Big Bend, WI(View on Map)

Full Name

Barbara Ann Prosen PTA

NPI Number

1861654113

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/27/2008

Specialties

(Taxonomies)

Code

225200000X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

872019

Contact
Information

Purpose

Mailing
Location

Address

W237S7855 WESTWOOD DR
W237S7855 WESTWOOD DR

City

Big Bend
Big Bend

State

WI
WI

Postal Code

53103-9407
53103-9407

Country

US
US

Telephone Number

(262) 662-2105
(262) 662-2105

Identifiers

Identifier

40072500

Identifier State

WI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/27/2008

Provider Address

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