Individual
DIANA F MILLSPAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
15312 W BELOIT RD, NEW BERLIN, WI 53151-7447
(262) 641-5771
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
042668
NY
225100000X
Physical Therapist
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649582545
—
WI
Enumeration date
07/08/2010
Last updated
12/17/2021
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