Individual
MARK KAMINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3821 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172-3712
(414) 762-6379
Mailing address
6191 WALNUT LN UNIT 74, CUDAHY, WI 53110-3465
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
932-019
WI
Other
Enumeration date
10/26/2008
Last updated
10/26/2008
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