Individual
MARY LEWIS DELCORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
N84W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2810
(262) 251-7500
Mailing address
N84W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2810
(262) 251-7500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6363-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100191033
—
WI
Enumeration date
05/24/2006
Last updated
03/15/2022
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