Individual
JOANNA SAUCEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1555 S LAYTON BLVD, MILWAUKEE, WI 53215-1924
(414) 902-2412
Mailing address
2138 N 59TH ST, MILWAUKEE, WI 53208-1038
(414) 510-0568
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1186-19
WI
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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