Individual
MRS. EMILY LIESENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1902 MEAD AVE, SHEBOYGAN, WI 53081-6140
(262) 458-8333
Mailing address
1902 MEAD AVE, SHEBOYGAN, WI 53081-6140
(262) 458-8333
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12816-24
WI
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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