DAVID N VAN DE WATER

MOUNT PLEASANT, WI
NPI1811222938
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  11232-024)
Enumeration Date2009-10-07
Last Update Date2021-11-21
Business Address
DAVID N VAN DE WATER DPT
6222 WASHINGTON AVE
MOUNT PLEASANT, WI 53406-3948
Phone number: 262-884-6418
Mailing Address
DAVID N VAN DE WATER DPT
6222 WASHINGTON AVE
MOUNT PLEASANT, WI 53406-3948
Phone number: 262-884-6418
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