Individual
MICHELLE L. FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2500 W LAYTON AVE, SUITE 160, MILWAUKEE, WI 53221-5420
(414) 817-5740
(414) 817-5745
Mailing address
2500 W LAYTON AVE, SUITE 160, MILWAUKEE, WI 53221-5420
(414) 817-5740
(414) 817-5745
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5059-024
WI
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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