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Individual

MADELINE MAAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1702 S RIVER RD, JANESVILLE, WI 53546-5648
(608) 373-6322
Mailing address
N353 PRAIRIE VIEW RD, WALWORTH, WI 53184-5848

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15243-24
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15243-24
STATE OF WISCONSIN PHYSICAL THERAPY EXAMINING BOARD
WI
Enumeration date
11/15/2020
Last updated
11/15/2020
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