Individual
JANNA SUE TAMMINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1223 9TH ST, BELOIT, WI 53511-4349
(608) 289-9797
Mailing address
1223 9TH ST, BELOIT, WI 53511-4349
(608) 289-9797
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.01551
IL
225100000X
Physical Therapist
Primary
9676-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40469400
—
WI
Enumeration date
02/10/2007
Last updated
07/09/2007
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