NPI 1013134105

Betty Marie Spear, PTA

Practitioner Physical Therapy Assistant Green Bay, WI

Practice location

Address: 2801 S Webster Ave, Green Bay, WI 54301-2878
Phone: (920) 403-7665
Fax: (920) 337-1126

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 104019 (WI)

Other Physical Therapy Assistant providers in Wisconsin →

Registry record

NPI: 1013134105
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.