Individual
MR. ANTHONY JOSEPH LAQUITARA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Contact information
Practice address
4602 EASTPARK BLVD, MADISON, WI 53718-2002
(608) 263-7540
Mailing address
39 JEANNETTE ST, GENEVA, NY 14456-1367
(315) 719-3028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16918-24
WI
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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