Individual
DEANNA M HUFF-RICCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3506 WASHINGTON RD, KENOSHA, WI 53144-1654
(262) 653-3800
Mailing address
5426 42ND AVE, KENOSHA, WI 53144-3922
(262) 344-3877
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2665-19
WI
Other
Enumeration date
05/10/2018
Last updated
04/21/2021
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