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1689849556
BEVERLY ANTOINETTE LUCKETT-TORRENCE
MILWAUKEE, WI
NPI
1689849556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 976-019)
Enumeration Date
2008-04-23
Last Update Date
2018-06-10
Business Address
Ms. BEVERLY ANTOINETTE LUCKETT-TORRENCE PTA
756 N 35TH ST STE 203
MILWAUKEE, WI 53208
Phone number: 414-763-1237
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Mailing Address
Ms. BEVERLY ANTOINETTE LUCKETT-TORRENCE PTA
1300 S. GREEN BAY ROAD, SUITE #205
RACINE, WI 53406
Phone number: 262-898-3930
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