MIKKO CHIONG DELA ROSA

WATERTOWN, WI
NPI1780169011
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  14337)
Enumeration Date2018-10-02
Last Update Date2018-10-02
Business Address
MIKKO CHIONG DELA ROSA
1020 HILL ST
WATERTOWN, WI 53098-3016
Phone number: 920-206-4935
Mailing Address
MIKKO CHIONG DELA ROSA
3053 PALMER DR APT 12
JANESVILLE, WI 53546-2316
Phone number: 773-630-5882