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Individual

MRS. TRACY LEA BRICHTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
3821 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172-3712
(414) 762-7336
Mailing address
3344 MARINA RD APT 103, SOUTH MILWAUKEE, WI 53172-3962

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
08/10/2009
Last updated
08/10/2009
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