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1962630038
COLLEEN ROSE KELM
GREENFIELD, WI
NPI
1962630038
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Former Name
COLLEEN ROSE PHILLIPP
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 11325-024)
Enumeration Date
2009-06-29
Last Update Date
2014-07-21
Business Address
-- COLLEEN ROSE KELM DPT
4861 S 27TH ST
GREENFIELD, WI 53221-2603
Phone number: 414-325-3325
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Mailing Address
-- COLLEEN ROSE KELM DPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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