Individual
DENISE MARIE BIBIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
N63W14409 ASH DR, MENOMONEE FALLS, WI 53051-5859
(262) 293-3112
Mailing address
N63W14409 ASH DR, MENOMONEE FALLS, WI 53051-5859
(262) 293-3112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1994
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40056900
—
WI
Enumeration date
04/19/2007
Last updated
07/09/2007
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