Individual
MICHELLE C PAULOWSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8400 LAKEVIEW PARKWAY, PLEASANT PRAIRIE, WI 53158
(262) 697-7295
(262) 697-9412
Mailing address
3601 30TH AVE, STE 103, KENOSHA, WI 53144
(262) 657-0222
(626) 657-7190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3855026
WI
225100000X
Physical Therapist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40890000
—
WI
Enumeration date
06/22/2006
Last updated
07/08/2007
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