Dave Spencer Mayuela Taboada, PHYSICAL THERAPIST

NPI #1255426144 in Tomah, Wisconsin

Provider Information

NPI Number: 1255426144
Entity Type: Individual
Name: Dave Spencer Mayuela Taboada, PHYSICAL THERAPIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PHYSICAL THERAPIST
Enumeration Date: Oct 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 403 N GLENDALE AVE APT 103
City: Tomah
State: Wisconsin
ZIP Code: 54660-1322
Phone: (608) 372-3971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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