Individual
ZACHARY LOVDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 N MAIN ST, DOUSMAN, WI 53118-8853
(800) 848-5306
Mailing address
2115 IRVING PL, WAUKESHA, WI 53188-2237
(262) 880-5669
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2750
WI
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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