KELLY DIRKSE

BROOKFIELD, WI
NPI1467770768
Former NameKELLY MAINS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  3935)
Enumeration Date2010-05-11
Last Update Date2010-05-11
Business Address
-- KELLY DIRKSE PT
17280 W NORTH AVE #104
BROOKFIELD, WI 53045-4366
Phone number: 262-780-0707
Mailing Address
-- KELLY DIRKSE PT
17280 W NORTH AVE #104
BROOKFIELD, WI 53045-4366
Phone number: 262-780-0707
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