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Individual
ANNE ELIZABETH SPADARO
Active
Individual
ANNE ELIZABETH SPADARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11286
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11286
LICENSE
WI
Enumeration date
07/20/2009
Last updated
07/20/2009
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