Mallory Ann Doedtman, DPT

NPI #1982042461 in Effingham, Illinois

Provider Information

NPI Number: 1982042461
Entity Type: Individual
Name: Mallory Ann Doedtman, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 6, 2013
Last Updated: Jun 6, 2013

Practice Location

Address: 12704 E 1975TH AVE
City: Effingham
State: Illinois
ZIP Code: 62401-6874
Phone: (217) 821-4715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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