Individual
KIMBERLY A HALAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 842-8548
(715) 842-8467
Mailing address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 842-8548
(715) 842-8467
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10545
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36100200
—
WI
Enumeration date
09/25/2006
Last updated
06/15/2009
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