Individual
MARINA DEWHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937-2999
(920) 907-7270
Mailing address
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937-2999
(920) 907-7270
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13363
WI
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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