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Individual

CHERYL LASSELLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
2210 N FANCHER RD, MOUNT PLEASANT, WI 53406-2051
(262) 886-1956
Mailing address
2210 N FANCHER RD, MOUNT PLEASANT, WI 53406-2051
(262) 886-1956

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.010640
IL
225100000X
Physical Therapist
11-01243
KS
225100000X
Physical Therapist
1134039
TX
225100000X
Physical Therapist
19444
CA
225100000X
Physical Therapist
Primary
5876-24
WI

Other

Enumeration date
04/30/2012
Last updated
04/30/2012
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