CANDACE CRIST PORTER

BROOKFIELD, WI
NPI1477526614
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
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
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