Individual
DOREEN KAY VANDRE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, PT, ATC
Contact information
Practice address
10950 W. CAPITOL DRIVE, COULMBIA WEST CLINIC, WAUWATOSA, WI 53222
(414) 464-4460
Mailing address
2740 N 94TH ST, MILWAUKEE, WI 53222-4507
(414) 771-0435
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5719-024
WI
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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