Individual
JULIE ADAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8633 32ND AVE, KENOSHA, WI 53142-5187
(262) 694-8800
Mailing address
7 SPRUCEWOOD CT, RACINE, WI 53402-5316
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11358024
WI
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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