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Individual

MS. KELLY MARIE EBERHARDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1650 STARBRIDGE DR, BROOKFIELD, WI 53005-5597
(262) 893-0926
Mailing address
1650 STARBRIDGE DR, BROOKFIELD, WI 53005-5597
(262) 893-0926

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6443-024
WI

Other

Enumeration date
11/22/2022
Last updated
11/22/2022
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