TIFFANY MARISSA HOUDEK

MADISON, WI
NPI1629290077
Former NameTIFFANY MARISSA KNOCH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  10432-024)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
-- TIFFANY MARISSA HOUDEK
600 HIGHLAND AVE COMPLIANCE MAIL CODE 2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
Mailing Address
-- TIFFANY MARISSA HOUDEK
600 HIGHLAND AVE COMPLIANCE MAIL CODE 2433
MADISON, WI 53792-0001
Phone number: 608-662-0817