Individual
DANIEL BRUCE MAATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 GOPHER DR, TOMAH, WI 54660-4513
(608) 372-2181
Mailing address
1525 MISSISSIPPI ST, LA CROSSE, WI 54601-4970
(715) 401-9102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16748-24
WI
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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