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1386769008
KELLY L WACHEWICZ
EAU CLAIRE, WI
NPI
1386769008
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Former Name
KELLY L ROSTAD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 10226)
Enumeration Date
2007-03-20
Last Update Date
2021-01-28
Business Address
KELLY L WACHEWICZ PT
1400 BELLINGER ST
EAU CLAIRE, WI 54703-5222
Phone number: 715-838-6499
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Mailing Address
KELLY L WACHEWICZ PT
PO BOX 1510
EAU CLAIRE, WI 54702-1510
Phone number: 715-838-6190
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