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Individual
MICHAELENE KLAWES
Active
Individual
MICHAELENE KLAWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0010757
CO
2251P0200X
Pediatric Physical Therapist
6009-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40349600
—
WI
01
—
PTL.0010757
PT LICENSE
CO
Enumeration date
05/21/2008
Last updated
02/21/2018
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