Individual
MRS. DEBRA LYNN AHLBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3939 S 92ND ST, CLEMENT MANOR, GREENFIELD, WI 53228-1455
(414) 546-7346
(414) 546-1825
Mailing address
3744 W HOLMES AVE, GREENFIELD, WI 53221-2516
(414) 282-2049
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
668027
WI
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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