Individual
LORI L. KESSENICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
13111 N PORT WASHINGTON RD, MEQUON, WI 53097-2416
(262) 243-7444
Mailing address
4001 W MEQUON RD, MEQUON, WI 53092-2729
(262) 408-0045
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1844
WI
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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