Individual
COURTNEY EWOLDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2730 W RAMSEY AVE, MILWAUKEE, WI 53221-4814
(414) 282-2600
(414) 282-2051
Mailing address
4833 S MARIN WAY, NEW BERLIN, WI 53151-7523
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4534-026
WI
Other
Enumeration date
05/08/2007
Last updated
07/08/2014
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