Individual
MELISSA KAY KROENCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
10724 W OKLAHOMA AVE, WEST ALLIS, WI 53227-4144
(414) 545-0206
(414) 545-0281
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12962-24
WI
225100000X
Physical Therapist
PT 28435
FL
Other
Enumeration date
08/12/2013
Last updated
06/15/2015
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