DONNA LAVAE PANKRATZ

BROOKFIELD, WI
NPI1073015665
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  41-019)
Enumeration Date2018-02-28
Last Update Date2018-02-28
Business Address
DONNA LAVAE PANKRATZ
17280 W NORTH AVE
BROOKFIELD, WI 53045-4366
Phone number: 262-780-0707
Mailing Address
DONNA LAVAE PANKRATZ
17280 W NORTH AVE
BROOKFIELD, WI 53045-4366
Phone number: 262-780-0707