Individual
KATHY ANN SOPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
316 N MILWAUKEE ST, SUITE 208, MILWAUKEE, WI 53202-5885
(414) 615-0665
Mailing address
11605 PARKVIEW LN, HALES CORNERS, WI 53130-2445
(414) 425-5495
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
892-019
WI
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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