Individual
DIANE KAY BLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11333 W NATIONAL AVE, WEST ALLIS, WI 53227-3111
(414) 327-2295
Mailing address
9121 WESTLAKE DR, GREENDALE, WI 53129-1094
(414) 425-6249
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1825-024
WI
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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