Individual
LISA GDANIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
611 SHERMAN AVE E, FORT ATKINSON, WI 53538-1960
(920) 568-5000
Mailing address
611 SHERMAN AVE E, FORT ATKINSON, WI 53538-1960
(920) 568-5000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3118
WI
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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