Individual
JILL WAMHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 E BUTLER RD STE C, MAULDIN, SC 29662-2105
(864) 268-6686
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61249398
WA
Other
Enumeration date
09/17/2021
Last updated
02/15/2022
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