Individual
MS. DAWN CHRISTINE JANIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
430 MANOR DR, SURING, WI 54174-9182
(920) 842-2191
(920) 842-2176
Mailing address
8084 SOUKUP RD, COLEMAN, WI 54112-9639
(920) 897-5000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1528-019
WI
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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