Individual
DR. CHARLES N VANNATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3111 GUNERSEN DR, ONALASKA, WI 54650
(608) 775-8630
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12641
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2014
Last updated
10/08/2021
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