Individual
DIANE M IMHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 392-9768
(608) 392-7124
Mailing address
700 WEST AVENUE S., LA CROSSE, WI 54601-4783
(608) 392-9768
(608) 392-7124
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1014
WI
Other
Enumeration date
02/24/2011
Last updated
03/07/2012
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