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1629290077
TIFFANY MARISSA HOUDEK
MADISON, WI
NPI
1629290077
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Former Name
TIFFANY MARISSA KNOCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 10432-024)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
-- TIFFANY MARISSA HOUDEK
600 HIGHLAND AVE COMPLIANCE MAIL CODE 2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
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Mailing Address
-- TIFFANY MARISSA HOUDEK
600 HIGHLAND AVE COMPLIANCE MAIL CODE 2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
Copy
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