NICOLE WATHKE

VIROQUA, WI
NPI1508033762
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  729)
Enumeration Date2008-05-15
Last Update Date2012-01-26
Business Address
-- NICOLE WATHKE PTA
614 S ROCK AVE
VIROQUA, WI 54665
Phone number: 608-637-2171
Mailing Address
-- NICOLE WATHKE PTA
20643 JUNEAU RD
WILTON, WI 54670-6127
Phone number: 608-372-4695