NICHOLE SHANNON BLIESNER

MILWAUKEE, WI
NPI1043569833
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1561-19)
Enumeration Date2012-09-07
Last Update Date2012-09-07
Business Address
Mrs. NICHOLE SHANNON BLIESNER PTA
2448 S 102ND ST STE. 340
MILWAUKEE, WI 53227-2466
Phone number: 414-329-2428
Mailing Address
Mrs. NICHOLE SHANNON BLIESNER PTA
1434 BLAINE AVE
RACINE, WI 53405-3310
Phone number: 262-681-4802
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