AGNES P DIETENBERGER

HARTFORD, WI
NPI1306051743
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  20-019)
Enumeration Date2007-05-11
Last Update Date2007-07-08
Business Address
-- AGNES P DIETENBERGER PTA, CMT
1640 E. SUMNER ST.
HARTFORD, WI 53027
Phone number: 262-670-4300
Mailing Address
-- AGNES P DIETENBERGER PTA, CMT
1745 FALCON DR
HARTFORD, WI 53027-2790
Phone number: 262-673-0142
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