Individual
DIANE KRISTINE WILLYERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1323 CRESTON PARK DR, JANESVILLE, WI 53545-1126
(608) 756-9440
Mailing address
200 N WUTHERING HILLS DR, JANESVILLE, WI 53546-2163
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
724-019
WI
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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