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Individual

ANASTASIA S DEMCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
902 S WELLS ST, LAKE GENEVA, WI 53147-2422
(262) 249-1915
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17508-24
WI

Other

Enumeration date
09/26/2025
Last updated
09/26/2025
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