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1043569122
DOROTHY RENEE WADDELL
JANESVILLE, WI
NPI
1043569122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 1904-19)
Enumeration Date
2012-09-05
Last Update Date
2015-01-28
Business Address
Ms. DOROTHY RENEE WADDELL PTA
3852 PINTAIL DR
JANESVILLE, WI 53546-3418
Phone number: 262-949-9422
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Mailing Address
Ms. DOROTHY RENEE WADDELL PTA
3852 PINTAIL DR
JANESVILLE, WI 53546-3418
Phone number: 262-949-9422
Copy
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