MS. Angela Lee Williquette, PTA
NPI #1932779139 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1932779139
- Entity Type
- Individual
- Name
- MS. Angela Lee Williquette, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jun 29, 2021
- Last Updated
- Jun 29, 2021
Practice Location
- Address
- 265 S NATIONAL AVE
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-5334
- Phone
- (920) 922-7342
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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