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Individual
MRS. KATHLEEN MARIE WALESEWICZ
Active
Individual
MRS. KATHLEEN MARIE WALESEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3584 - 024
WI
225100000X
Physical Therapist
5501005312
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40229400
—
WI
Enumeration date
04/10/2008
Last updated
09/28/2012
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