Individual
MR. DOUGLAS M WORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
N55W37141 ROLAND ST, OCONOMOWOC, WI 53066-5320
(262) 443-0384
Mailing address
N55W37141 ROLAND ST, OCONOMOWOC, WI 53066-5320
(262) 443-0384
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4821-24
WI
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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