Individual
MARIA KOHLWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
2835 N GRANDVIEW BLVD, STE. 100, PEWAUKEE, WI 53072-5546
(262) 574-5185
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1038-39
WI
Other
Enumeration date
05/11/2012
Last updated
03/02/2015
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