Individual
MS. DIANE MARY STADLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2801 S WEBSTER AVE, GREEN BAY, WI 54301-2878
(920) 401-7665
(920) 337-1126
Mailing address
2801 S WEBSTER AVE, GREEN BAY, WI 54301-2878
(920) 401-7665
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
105-019
WI
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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