Individual
MRS. LEANNE MARIE STADTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
N84W17049 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2701
(262) 255-7050
Mailing address
1012 NORTH GRANDVIEW BOULEVARD, WAUKESHA, WI 53188
(262) 349-9139
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1295-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36127900
—
WI
Enumeration date
05/14/2007
Last updated
07/08/2007
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