Individual
GABRIELA ZELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1414 N PROSPECT AVE, MILWAUKEE, WI 53202-3018
(262) 478-0332
Mailing address
9422 W GOODRICH AVE, MILWAUKEE, WI 53224-2732
(414) 586-0837
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
618-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40172100
—
WI
Enumeration date
04/25/2007
Last updated
07/08/2007
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