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1821514605
ARIEL R SKAVDAHL
KENOSHA, WI
NPI
1821514605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 13738-24)
Enumeration Date
2017-08-14
Last Update Date
2017-08-14
Business Address
ARIEL R SKAVDAHL DPT
9244 29TH AVE
KENOSHA, WI 53143-6602
Phone number: 262-694-0080
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Mailing Address
ARIEL R SKAVDAHL DPT
234 N BROADWAY UNIT 614
MILWAUKEE, WI 53202-5825
Phone number: 970-372-8438
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