Individual
DONNA M. AU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2895 S MOORLAND RD, NEW BERLIN, WI 53151-3743
(262) 782-9013
Mailing address
W4294 HILLVIEW LN, JEFFERSON, WI 53549-9714
(920) 699-2340
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1268-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40094100
—
WI
Enumeration date
05/04/2007
Last updated
05/04/2009
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