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Individual

MRS. KRISTINE C. DEKARSKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
677 E STATE ST, BURLINGTON, WI 53105-1639
(262) 763-9531
(262) 763-7579
Mailing address
677 E STATE ST, BURLINGTON, WI 53105-1639
(262) 763-9531
(262) 763-7579

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1045-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40019700
WI
Enumeration date
06/30/2008
Last updated
06/30/2008
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