DIANE ELIZABETH ANDERSON

MILWAUKEE, WI
NPI1093915472
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1329-019)
Enumeration Date2007-07-23
Last Update Date2009-05-06
Business Address
Miss DIANE ELIZABETH ANDERSON PTA
316 N MILWAUKEE ST STE 208
MILWAUKEE, WI 53202-5803
Phone number: 414-615-0665
Mailing Address
Miss DIANE ELIZABETH ANDERSON PTA
17085 W NATIONAL AVE
NEW BERLIN, WI 53151-5523
Phone number: 262-617-7748