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1487102000
LISA KELLEY
MILWAUKEE, WI
NPI
1487102000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 13617-24)
Enumeration Date
2016-09-12
Last Update Date
2016-09-12
Business Address
-- LISA KELLEY DPT
2727 W CLEVELAND AVE
MILWAUKEE, WI 53215-2956
Phone number: 414-316-9533
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Mailing Address
-- LISA KELLEY DPT
12635 WRAYBURN RD
ELM GROVE, WI 53122-1454
Phone number: 262-853-2897
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