Individual
NICOLE STRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8911 N PORT WASHINGTON RD, BAYSIDE, WI 53217-1634
(414) 351-5794
(414) 351-2770
Mailing address
8911 N PORT WASHINGTON RD, BAYSIDE, WI 53217-1634
(414) 351-5794
(414) 351-2770
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2425-19
WI
Other
Enumeration date
02/01/2016
Last updated
11/11/2016
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