Sarah M Dotterweich PTA

NPI 1750427100 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1750427100
Gender Female
Enumeration Date 01/30/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3305 N BALLARD RD STE C
APPLETON WI, 54911-9001, US
Phone (920) 735-9234
Fax
Business Location
969 HARDING ST
MENASHA WI, 54952-2561, US
Phone (920) 832-1236
Fax
Toxanomy
Taxonomy Code 225200000X
License State Wisconsin
License Number 325
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According to our database, Sarah M Dotterweich PTA NPI is 1750427100, taxonomy code is 225200000X and license number is 325, license state is located at Wisconsin. Sarah M Dotterweich PTA physically located at 3305 N Ballard Rd Ste C, Appleton WI, 54911-9001. NPI Number Sarah M Dotterweich PTA has the Individual type.

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1750427100 NPI number is provided on an as is basis without warranty of any kind. 1750427100 is maintained by the National Plan & Provider Enumeration System. The contents of Sarah M Dotterweich PTA are for informational purposes only.