SUSAN MAXWELL

KENOSHA, WI
NPI1609031061
Former NameSUSAN BAUMANN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  11618-24)
Enumeration Date2008-07-25
Last Update Date2011-05-27
Business Address
Mrs. SUSAN MAXWELL DPT
7610 PERSHING BLVD
KENOSHA, WI 53142-4318
Phone number: 262-948-3600
Mailing Address
Mrs. SUSAN MAXWELL DPT
8561 S VENTANA DR APT 4517
OAK CREEK, WI 53154-8343
Phone number: 414-861-1202
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SPORTS PHYSICAL THERAPISTS, LLC