Individual
KAITLYN VAN ELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5700 MOCKINGBIRD LN, GREENDALE, WI 53129-1442
(414) 982-4097
Mailing address
5730 FOXLEY CT, GREENDALE, WI 53129-1652
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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