Selena Waido

NPI #1275277642 in Mendota, Illinois

Provider Information

NPI Number: 1275277642
Entity Type: Individual
Name: Selena Waido
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Apr 22, 2022
Last Updated: Apr 22, 2022

Practice Location

Address: 1401 E 12TH ST
City: Mendota
State: Illinois
ZIP Code: 61342-9216
Phone: (815) 539-1409

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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