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Individual

MR. WILLIAM M VITTONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
911 3RD ST W, ASHLAND, WI 54806-1311
(715) 682-8172
(715) 682-6662
Mailing address
3105 ALABASTER DR APT G-6, SHELBY TOWNSHIP, MI 48317-2595
(865) 230-2817
(715) 682-6662

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2007-19
WI
225200000X
Physical Therapy Assistant
Primary
5502006380
MI
225200000X
Physical Therapy Assistant
PTA0000003525
TN

Other

Enumeration date
07/02/2008
Last updated
02/11/2022
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