Individual
MARISA J. TROTTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 80TH ST., KENOSHA, WI 53142
(262) 697-5290
(262) 697-1730
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070015133
IL
225100000X
Physical Therapist
Primary
10471-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40464500
—
WI
Enumeration date
06/13/2006
Last updated
04/21/2016
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