Individual
MRS. CYNTHHIA JO LEDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
516 26TH AVE, MONROE, WI 53566-1531
(608) 329-6600
(608) 329-6594
Mailing address
345 URBAN RD, MONTICELLO, WI 53570-9637
(608) 938-4645
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2162-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40294400
—
WI
Enumeration date
05/09/2007
Last updated
07/08/2007
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