Individual
KIMBERLY M WOTRUBA-OLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
620 HARPER AVE, PESHTIGO, WI 54157-1134
(715) 582-4148
Mailing address
6422 ASPEN DR, SOBIESKI, WI 54171-9773
(920) 822-5219
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3646
WI
Other
Enumeration date
09/28/2008
Last updated
09/28/2008
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