Individual
KAYLA HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7500 W NORTH AVE, WAUWATOSA, WI 53213-1717
(414) 258-6170
Mailing address
7500 W NORTH AVE, WAUWATOSA, WI 53213-1717
(414) 258-6170
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2297-19
WI
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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