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Individual

MRS. DIANE ROCHELLE KAESTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
916 E CLIFFORD ST, PLYMOUTH, WI 53073-2468
(920) 892-2654
Mailing address
916 E CLIFFORD ST, PLYMOUTH, WI 53073-2468

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
168624
WI

Other

Enumeration date
05/31/2011
Last updated
05/31/2011
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