Individual
LISA MARIE REICH-HAGENOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
316 N MILWAUKEE ST, SUITE 208, MILWAUKEE, WI 53202-5885
(888) 389-9031
Mailing address
5019 S 55TH ST # C103, GREENFIELD, WI 53220-5315
(920) 838-3075
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
874019
WI
Other
Enumeration date
09/13/2007
Last updated
03/26/2014
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