KIMBERLY L SLACK

MILWAUKEE, WI
NPI1245278167
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  890019)
Enumeration Date2006-06-03
Last Update Date2007-07-08
Business Address
Mrs. KIMBERLY L SLACK P.T.A.
2323 N LAKE DR
MILWAUKEE, WI 53211-4508
Phone number: 414-291-1066
Mailing Address
Mrs. KIMBERLY L SLACK P.T.A.
2323 N LAKE DR
MILWAUKEE, WI 53211-4508
Phone number: 414-291-1066
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