Individual
JOHN WASZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4430 MISSOURI AVENUE, BOX NUMBER 1267, FORT LEONARD WOOD, MO 65473-2603
(624) 089-3572
Mailing address
154 MESA DR., WAYNESVILLE, MO 65583
(262) 408-9357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13538-29
WI
Other
Enumeration date
09/15/2016
Last updated
04/25/2023
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