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Individual

MISS KRISTEN ELIZABETH BRODZELLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2025 W OKLAHOMA AVE, SUITE 104, MILWAUKEE, WI 53215-4455
(414) 647-7678
Mailing address
600 LAUREL LAKE RD, #6, THIENSVILLE, WI 53092-1226
(414) 305-0968

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6112024
WI

Other

Enumeration date
05/22/2008
Last updated
05/22/2008
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