Individual
ANDREA FRANCES KOLODZIEJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
7901 S 6TH ST, OAK CREEK, WI 53154-2010
(708) 860-5635
Mailing address
7901 S 6TH ST, OAK CREEK, WI 53154-2010
(708) 860-5635
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1144
SC
Other
Enumeration date
10/05/2006
Last updated
10/21/2024
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