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Individual

DIXIE HETTINGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 842-8548
Mailing address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 842-8548

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1956-24
WI

Other

Enumeration date
08/27/2008
Last updated
08/27/2008
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