Individual
SHERLEY MACLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 N 53RD ST, APT. 2, MILWAUKEE, WI 53208-2228
(414) 475-7440
Mailing address
1414 N 53RD ST, APT. 2, MILWAUKEE, WI 53208-2228
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
454-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100018572
—
WI
Enumeration date
08/20/2008
Last updated
08/23/2013
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