Individual
BRIDGET VALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1057
(414) 291-1808
Mailing address
10740 S MCGRAW DR, OAK CREEK, WI 53154-7000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1028-154
WI
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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