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Individual

ERIN BACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1067
Mailing address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1067

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12456-24
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12456-24
LICENSE
WI
Enumeration date
04/28/2014
Last updated
04/28/2014
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