Individual
DONNA J ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2611 12TH ST S, WISCONSIN RAPIDS, WI 54494-6445
(715) 421-8855
(715) 421-2266
Mailing address
2611 12TH ST S, WISCONSIN RAPIDS, WI 54494-6445
(715) 421-8855
(715) 421-2266
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2561-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40173900
—
WI
Enumeration date
04/20/2007
Last updated
07/09/2007
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