Individual
MRS. MARILYN ELIZABETH LEFAIVRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3533
(414) 383-9526
(414) 649-2711
Mailing address
930 W HISTORIC MITCHELL ST, MILWAUKEE, WI 53204-3533
(414) 383-9526
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2361-024
WI
Other
Enumeration date
01/16/2007
Last updated
03/24/2020
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