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1144945775
MARIAH JANISCH
MADISON, WI
NPI
1144945775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 2699)
Enumeration Date
2022-10-06
Last Update Date
2022-10-06
Business Address
MARIAH JANISCH PTA
1601 WHEELER RD
MADISON, WI 53704-7056
Phone number: 608-496-8595
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Mailing Address
MARIAH JANISCH PTA
3633 T BIRD WAY
COTTAGE GROVE, WI 53527-9462
Phone number: 608-225-9631
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