CANDACE CRIST PORTER

BROOKFIELD, WI
NPI1477526614
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  1347024)
Enumeration Date2006-02-08
Last Update Date2007-07-08
Business Address
CANDACE CRIST PORTER PT
17280 W NORTH AVE #104
BROOKFIELD, WI 53045-4366
Phone number: 262-780-0707
Mailing Address
CANDACE CRIST PORTER PT
17280 W NORTH AVE #104
BROOKFIELD, WI 53045-4366
Phone number: 262-780-0707