JODI CAROL HOUGAN

BEAVER DAM, WI
NPI1902102643
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1597-19)
Enumeration Date2011-01-27
Last Update Date2015-03-13
Business Address
Ms. JODI CAROL HOUGAN PTA
1626 N SPRING ST SUITE B
BEAVER DAM, WI 53916-1283
Phone number: 920-356-0122
Mailing Address
Ms. JODI CAROL HOUGAN PTA
1626 N SPRING ST SUITE B
BEAVER DAM, WI 53916-1283
Phone number: 920-356-0122
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