DIANE J WAUTERS

GREEN BAY, WI
NPI1134279060
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  2404)
Enumeration Date2007-01-11
Last Update Date2007-07-08
Business Address
-- DIANE J WAUTERS PT
835 S VAN BUREN ST
GREEN BAY, WI 54301-3526
Phone number: 920-433-0111
Mailing Address
-- DIANE J WAUTERS PT
PO BOX 13508
GREEN BAY, WI 54307-3508
Phone number: 920-433-0111
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