Deanna Marie Nordwald, PTA

NPI #1336572908 in Mexico, Missouri

Provider Information

NPI Number: 1336572908
Entity Type: Individual
Name: Deanna Marie Nordwald, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 18, 2013
Last Updated: Aug 18, 2013

Practice Location

Address: 711 E JACKSON ST
City: Mexico
State: Missouri
ZIP Code: 65265-2903
Phone: (573) 582-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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