Individual
COLLEEN ANN YAGGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
N112W15415 MEQUON RD, GERMANTOWN, WI 53022-3410
(262) 257-4730
(262) 257-4737
Mailing address
N112W15415 MEQUON RD, GERMANTOWN, WI 53022-3410
(262) 257-4730
(262) 257-4737
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3216
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40398600
—
WI
Enumeration date
06/28/2006
Last updated
11/03/2008
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