Individual
DONNA LAVAE PANKRATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17280 W NORTH AVE, BROOKFIELD, WI 53045-4366
(262) 780-0707
Mailing address
17280 W NORTH AVE, BROOKFIELD, WI 53045-4366
(262) 780-0707
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
41-019
WI
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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