NPI 1023262763

Michael Brian Dewing, PTA

Practitioner Physical Therapy Assistant Appleton, WI

Practice location

Address: 2915 N Meade St, Appleton, WI 54911-1509
Phone: (920) 993-6837

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1536-019 (WI)

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Registry record

NPI: 1023262763
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Nov 2008
Record last updated: 7 Nov 2008

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.