Bethany J Nodolf, PT, DPT, CSCS

NPI #1306026026 in Fond Du Lac, Wisconsin

Provider Information

NPI Number: 1306026026
Entity Type: Individual
Name: Bethany J Nodolf, PT, DPT, CSCS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT, CSCS
Enumeration Date: Nov 9, 2007
Last Updated: Nov 9, 2007

Practice Location

Address: 421 CAMELOT DR
City: Fond Du Lac
State: Wisconsin
ZIP Code: 54935-8335
Phone: (920) 923-7940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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