Individual
MS. DOROTHY RENEE WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3852 PINTAIL DR, JANESVILLE, WI 53546-3418
(262) 949-9422
Mailing address
3852 PINTAIL DR, JANESVILLE, WI 53546-3418
(262) 949-9422
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1904-19
WI
Other
Enumeration date
09/05/2012
Last updated
01/28/2015
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