Individual
MARY H HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
110 BELMONT RD, MADISON, WI 53714-3129
(608) 249-7391
Mailing address
110 BELMONT RD, MADISON, WI 53714-3129
(608) 249-7391
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
546224
WI
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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