Individual
PATRICIA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17280 W NORTH AVE, BROOKFIELD, WI 53045-4366
(262) 780-0707
(262) 780-0717
Mailing address
619 ELK LN, WAUKESHA, WI 53188-4671
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2475 - 19
WI
Other
Enumeration date
05/22/2016
Last updated
05/24/2016
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