Individual
MAJA KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1475 W GRAND AVE, PORT WASHINGTON, WI 53074-2074
(262) 268-5100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12442-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100223416
—
WI
Enumeration date
03/05/2019
Last updated
01/05/2026
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