MEREDITH LYNN DEBACK-GAST

PEWAUKEE, WI
NPI1053033258
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  16140-24)
Enumeration Date2022-09-14
Last Update Date2024-07-02
Business Address
MEREDITH LYNN DEBACK-GAST DPT
N15W28300 GOLF RD
PEWAUKEE, WI 53072-4800
Phone number: 262-303-5055
Mailing Address
MEREDITH LYNN DEBACK-GAST DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: