Individual
EMILY FOLLENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-1422
Mailing address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-1422
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1844-19
WI
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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