Individual
SHAWN WILLIAM BIRKHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
13455 KENMAR CT, BROOKFIELD, WI 53005-6536
(262) 424-0313
Mailing address
13455 KENMAR CT, BROOKFIELD, WI 53005-6536
(262) 424-0313
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4192
WI
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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