Individual
LISA JEAN VANDER GEETEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 292-1057
(414) 291-1808
Mailing address
7844 MILWAUKEE AVE, WAUWATOSA, WI 53213-2102
(414) 778-1954
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2533-024
WI
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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