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Individual
ALLISON BROOKE SLATTERY
Active
Individual
ALLISON BROOKE SLATTERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14377
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S4360029472206
DRIVERS LICENSE NUMBER
WI
Enumeration date
07/17/2019
Last updated
11/02/2023
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