Individual
KASSANDRA KIMICHIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT, ATC
Contact information
Practice address
6908 N SANTA MONICA BLVD, FOX POINT, WI 53217-3942
(414) 252-2082
Mailing address
6908 N SANTA MONICA BLVD, FOX POINT, WI 53217-3942
(414) 352-2082
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
13801
WI
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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