Individual
MRS. HEATHER LYNN LIACOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5700 W LAYTON AVE, GREENFIELD, WI 53220
(414) 281-7200
Mailing address
5700 W LAYTON AVE, GREENFIELD, WI 53220
(414) 281-7200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6194024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40353700
—
WI
Enumeration date
05/02/2008
Last updated
05/02/2008
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