NPI 1104996230

Patricia Ann Temple, PTA

Practitioner Physical Therapy Assistant West Bend, WI

Practice location

Address: 5595 County Road Z, West Bend, WI 53095-9224
Phone: (262) 306-2100
Fax: (262) 306-2128
Mailing address: 908 Lois CT, Hartford, WI 53027-2509

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 77-019 (WI)

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Registry record

NPI: 1104996230
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Nov 2006
Record last updated: 9 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.