DIANE M IMHOFF

LA CROSSE, WI
NPI1043517238
Former NameDIANE M KIES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1014)
Enumeration Date2011-02-24
Last Update Date2012-03-07
Business Address
-- DIANE M IMHOFF PTA
700 WEST AVE S
LA CROSSE, WI 54601-4783
Phone number: 608-392-9768
Mailing Address
-- DIANE M IMHOFF PTA
700 WEST AVENUE S.
LA CROSSE, WI 54601-4783
Phone number: 608-392-9768
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