Individual
MRS. NICOLE ALLENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
516 26TH AVE, MONROE, WI 53566-1531
(608) 329-6600
Mailing address
5104 E STAGECOACH TRL, APPLE RIVER, IL 61001-9405
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/23/2011
Last updated
11/25/2013
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