Individual
MRS. DEBORAH SUSAN MAHUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2317-24
WI
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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