Laurel B Wiggs PTA

NPI 1124211727 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1124211727
Gender Female
Enumeration Date 08/27/2007
Last Updated 08/27/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
908 2ND ST NE
WATERTOWN SD, 57201-1613, US
Phone (605) 884-8609
Fax
Business Location
908 2ND ST NE
WATERTOWN SD, 57201-1613, US
Phone (605) 884-8609
Fax
Toxanomy
Taxonomy Code 225200000X
License State South Dakota
License Number 0201
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According to our database, Ms. Laurel B Wiggs PTA NPI is 1124211727, taxonomy code is 225200000X and license number is 0201, license state is located at South Dakota. Laurel B Wiggs PTA physically located at 908 2nd St Ne, Watertown SD, 57201-1613. NPI Number Laurel B Wiggs PTA has the Individual type.

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1124211727 NPI number is provided on an as is basis without warranty of any kind. 1124211727 is maintained by the National Plan & Provider Enumeration System. The contents of Laurel B Wiggs PTA are for informational purposes only.