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Individual

MRS. MICHELLE E ZIRBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
N7135 ROCKY KNOLL PKWY, PLYMOUTH, WI 53073-3103
(920) 449-1254
Mailing address
2448 S 102ND ST, STE. 340, MILWAUKEE, WI 53227-2466
(800) 877-7018
(414) 329-2505

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1738019
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1738019
PTA LICENSURE
WI
Enumeration date
12/04/2011
Last updated
12/04/2011
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