Diane Catherine Phelan

NPI #1265694996 in Waupaca, Wisconsin

Provider Information

NPI Number: 1265694996
Entity Type: Individual
Name: Diane Catherine Phelan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jun 25, 2008
Last Updated: Jun 25, 2008

Practice Location

Address: 800 RIVERSIDE DR
City: Waupaca
State: Wisconsin
ZIP Code: 54981-1943
Phone: (715) 258-1053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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