Individual
KARLA KIMLICKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
702 W DOLF ST, COLBY, WI 54421-9604
(715) 223-2352
Mailing address
9407 MEADOW CREEK LN, WESTON, WI 54476-5660
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1268-19
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568645117
—
WI
Enumeration date
12/06/2007
Last updated
10/12/2012
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