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Individual

MS. DONNA WILDA MANTHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1323 CRESTON PARK DR, JANESVILLE, WI 53545-1126
(608) 756-9440
(608) 756-9455
Mailing address
1410 LONGVIEW ST, MADISON, WI 53704-2138
(608) 244-8330
(608) 244-8358

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1868-026
WI

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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