Individual
ANNE R. HARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9204
(262) 329-1000
(262) 376-6020
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4611
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40218500
—
WI
01
—
P00465813
RR MEDICARE
WI
Enumeration date
07/02/2006
Last updated
02/19/2025
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