Individual
MRS. MARIE COLETTE LORECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7517 W COLDSPRING RD, GREENFIELD, WI 53220-2814
(414) 327-6603
Mailing address
W2160 DEBRA CT, CHILTON, WI 53014-1624
(920) 849-3340
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1092-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40070000
—
WI
Enumeration date
06/15/2007
Last updated
07/08/2007
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