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Individual

LAURA KISTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
2231 US HIGHWAY 12 STE 201, BALDWIN, WI 54002-3270
(715) 684-5020
Mailing address
837 HARBOR VIEW RD, HUDSON, WI 54016-7020
(715) 577-3373

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11905-24
WI

Other

Enumeration date
12/01/2016
Last updated
12/01/2016
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