Individual
MRS. KIMBERLY MARIE SAWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3200 SOUTH 20TH STREET, MILWAUKEE, WI 53215
(414) 389-3275
(414) 389-3225
Mailing address
3200 SOUTH 20TH STREET, MILWAUKEE, WI 53215
(414) 389-3275
(414) 389-3225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11029-024
WI
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36184100
—
WI
Enumeration date
08/11/2008
Last updated
12/16/2009
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