DANA ELIZABETH WISWALL

JEFFERSON CITY, MO
NPI1306065941
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2003029894)
Enumeration Date2007-04-24
Last Update Date2007-07-08
Business Address
DANA ELIZABETH WISWALL PT
3308 W EDGEWOOD DR
JEFFERSON CITY, MO 65109-6891
Phone number: 573-638-3400
Mailing Address
DANA ELIZABETH WISWALL PT
305 JUSTIN LN
ASHLAND, MO 65010-8915
Phone number: 573-657-6133
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